HomeMy WebLinkAbout1578 ~ D~cluatlon ot DomIc11~ and Cttis~nshlp ~ 154531
TO THE STATE AND GOUNTY TAX A?SSESSOR,
Sl. IUCIE COUNTY, FtORIDA:
This is my decls~ation of Oomicile and Citisenship In th~ Stat~ of Horida that 1 am fili~p this day i~ aooordano~ and
in conformity with ChaptK 222. Sation 222.17, Florida Statutss.
1 was formerly a leqel msid~nt of S t.Lo u i a l~le
~qty~ (Stab)
and 1 rosided at 5576 Pershint~ Blvd ~ . Howewr I haw d~anq~al my danWl~
. (StrMt and Numbar)
ro end am and have been a bona fide reiidsnt of the Stsro of Horids :inoe 27th ~y ~
March , ~q 67, a~ ~ n 601 So Ocean Drive- Se ~b
(StnN snd Numbsr)
FORT N~C~, SAINT LUCIE COUNTY, RORIDA .
and this statement is to be tek~n a: my dedaration of citiu~ship, actual le~al resiclena and domidl~ in ths Stste of Florida.
qnsert here any pertinent facts, such as sale of property or busines:, or relinqui:hn?e~t of smploym~t+t
at fomner domidle, romoval of fsmily ro new domicile, purchsse of hane, ~tc.)
Bstablishing residence -
$ntering Rafael A. Him in High school, who is in the care of
Jerry Hogue
~ILED E CpUN?YDFI.A:
ST. LUC
R~CCRD VER{FIED
~ 154531
'61 APR q . ~ ' 03 -
k iiAO~~I~ .
• n•~:'l; s•l~}~~R.~.cJ
» v
~~,ERK CIRCUIT COURT -
I RJRTHER CHtTIFY fhat I will oomply with all othsr requi~ement: of a le~al r~Idenf of this Stete. .
1 FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
, ~~>>`t
~ ~ ` 11 NC f'i,
. ; Q, ~
~ '~O''~, 'y
' : y~ i c+G.,.~` . (Name)
v.~:~.,.~..~~j; jt ~
, , - G:;. = Jerry Nogue
_ . - -
_ {p ~ ' • ~
: t!? ' ' =
_ +~r ' .
- .1_r'~ie~`~~`~ : ~ .
- ..-,,,,,F,,,,' ' ~ _ (Address)
~ >
!r,^, w -
~•,..,.,.:,-~~~~G~"'~~ 4th April q 6?
Sworn to snd wbscribed befom me this day of 1
ROGL~R ~ORRAS .
~ Cp~T Notary Pubfk.
By «-t-~~i ~ 0.~. My Commission expiros -
lT~ b~ ~oacrhd iw dvpNcM~ sa~l o~iab~l fN~d wili~ Cl~ek Cinarit Gw~, a~d d~piiaN vvi~ T~ac Asw~o~a
eoou~~J ~~~J~~
~ ~~.h~ _ ~ ~ ~
s' . . +i
~