HomeMy WebLinkAbout1359 Decluatbn ~ Danic~l~ and Citis~nship - _
TO THE STATE AND GOUNTY TAX ASSES.SOR, .i~~•
S1. UICIE COUNTY. FLORIDA: .
lhit is my declsratiw~ of Domicile and Citiunitiip i~ ths Sts» of Florid~ that 1 sm filinp this day in ~ooordano~ ~~d
in conformity with ChaptK 222. S~ction 422.17, Florida Ststut~s._
1 was f~ormerly a te~al roside~t of Plorids ~
(City) (Stafr)
and 1 rosidsd at 9026 N. w. 29th Street ~
~
ro and a~n and have been a bons fids ~id~nt of the Stsh of Horida sina~ 30th day of
March 19 64 ~ 1226 Ormond Ave.
(Stn~t and Numbsr)
~ n~, s~a~ wc~ co~a~rnr. aoia~~
and this stat~ment is ro bs tak~n as my dsdaratbn ef dtiunsF~ip, actual lepal raidena and domitil~ i~ ths Stat~ of Florida.
qnsert here any pertinent facts, wch as sale of propsrryt or busineu, or relinqui~mer~t of emplo~rm~nt .
at formK domidle, ramovaf ot famtiy to ri~w dornkik, purch~s~ of home. Nc.) ~
~~r~ p~~~ FILEC AND RECOROEO'_
~ sT. LUCIE COUNTY. f~t.A.`r -
~ RECOR,-05V4ERIf~F1E~~0
'6t MAR 30 pM 2:30
.
ROGCR POtTR~S
eLERK CIRCUIT COURT
E
~
F{
F
[r
f
I FURTHER GHtTIFY tfiat ! wiil oomply with all other nqui~ts of a Ipsl ~idsM af this State.
• I FURTHER CERTIFY that I have no intention to return to my former domkile, a~d i intend to remain in FOAT
PIERCE. SAINT LUCIE COUNTY, FLORiDA, permanently. ~
`~~~:tn~e!:Ut~tl~~.
~~lY:;: Ca oseph R. Brtnnen
.
~c~r''
V~'~~•~w~''ti~ -
= V ir~,v y1 f, ;~r y_ -
r ZG~ = 122 6 Ormond Ave. Pt. Pierce,F~~.
..~Q. . -
~ rt ~ ~ ' f.rl..t
. •
_ ~'.r• _ ' (/4ddress)
_~•:r .
: _ , ~C~ . .
.
r~y~~ 1l~ssaio~s March 67
E `
'~•,~f~ U~~•••••• .~~.~+`s~ibsuibsd before me this 30th ~y ~ - 19 . -
'~~fj~l:t~~;~ ~t+ `
. ROOlR rOfTRAS .
~ _ ~ Notsry Pubik
8y ' D.C. My Corrrnlssion expiros
R~ b~ ~oac~Nd M d~ieal~ a~ ~in~l fii~d wilh Ci~ek CM~adf Cew~, aua drpliaw wilb Taoc A~.1
~~I~~ ~E~~ - _
_
~ -=x - , . ~
. .
~ , ~ _