HomeMy WebLinkAbout2720 ' ~ ~ .
D~cla~atlon ot Oomtcil~ and Citize~ship 1s1330
TO THE STATE AND GOUNTY TAX ASSESSOR,
Si. IUGIE COUNTY, FLORIDA:
This is my declaration of Uomicile and Citizenzhip in ths State of Florid~ that 1 am filinq this day in sooo~da~w and
in conformity with Chepter 2Y1. Section 222.17, Florid~ StatuMs.
I was formerly a leqa) rosid~nt of ~~,gs~rt Tenn~ss~t
_ (City) (Sta») .
snd I ~esidad at _ 1705 N. Bast~at~ Rosd . Howevsr 1 haw charpsd rr~y domi~3le
(Sinet end Numb~r)
ro and am srx! have been a bons f)ds residsnt pf the Shte of Florida sinos _ 2Sth dsy af
October , t9 b~, end ~ resids at _-.4301 Avenue J, Port Pierce. Pla.
(Straet and Numbsr)
~ORT M~CE, SAINT WCIE tOUNTY, RORIDA
and this statement is ro be teken es my declaratio~ of citizanship, actuallaQal residence and domicfls ln fhs State of Florida.
(Insert he~e eny pe~tinent facts, such as sate of propsrty or busines:, or roltnqui~ment of employment
at former domidis, ?emoval of family to n~vs domidle, purchase of home, etc.) ~
-
$ntering
. 1Cisbesly Mn Hartsacl~ ,
in lat Grade of school ~`~'~1E0 AND RFCOROEp !
~ ~T• IUCIE COUNTy. FLA.
~ - ' RECQRD V~RIFIEO
p~sn to bny t~nt a ho~e ~ater. -L61330
.
. ~st ocr 3 ~ ~ i : ~e
~ f:O~~R f'UITF~~S
~~ERK CfRCUIr COURT
.
1 RJRTHER CERTIFY the~ 1 wil! oomply wifh aU othsr roq~lrsmsnts of a le~al resideM of this Stata.
I FURTH~R"CERTIFY that 1 have no intention to return to my former domiUle, a~d I intsnd to remain in FORT
= PIERCE, SAINT LUCIE COUNTY, FIORIDA, permanently.
~ . ~
; ' ~ n
G'
- ~a~"°~ Vitgil O. Hartsoclc
(Address)
Sworn.to.and wbscribsd before me this 31st day ~ ~ OCtOber , 19 6? .
~ . ;
` _
? .'~G~RK CIR~UR. .
; . Notary Public
: , _
' ~ "Y ~ ~.C. My Commission expires ~ .
s _ . ,
~ '~•;I^_ ,G4,~
(T'd bt s~r~icvl~d is drp~ aMl e~iual Hl~d wi11~ Clwk Cireuif Cewt, and .r
H d dupiicat~ wi1i~ Tax A~worJ
~~~~68 ~2714
~ ~ - ~ - - - . _ - -
~