HomeMy WebLinkAbout1000 D~cla~atlon ot I~omiaii~ a~d Citisansh~p 16~6~
TO THE STATE AND COUNTY TAX AkiSE,50R.
Sl. UJCIE ~OUNTY, FLORIDA:
This is my declaratio~ of Oomicile and Citizenship i~ ths Sta:e of Florida that I am filin~ this day In aooordana~ and
~n oonformity with Chspter 22~, Section 222.17, Florida Statuta.
1 was formerly a iegal reside~t of ~~e 1~1lM YOrj[
(Ciy) (Sta»)
and 1 resided at _128 Nnu~t.~~,~v,sr._ . liowever 1 hava chanysd my domidle !
(St~~t and Number)
ro and am and have bee~ a bo~a fide r~ident of ths Ststs of florids sinoe 12th day of
Novesber , 19 67 and 1 reside at Rt 2 Indrio Road Box 1~3
(Street and Number)
FORT'I~CE, SAlNT lUC1E COUNTY, RORIDA ~
and this statement is to be taken as my daclaration of citizenship, actual Iagal r~idenoe and domidle in the Staro of Hotida.
pnseh he~e any pertinent fatts, such as sale of propery or business, or mtinquishment of employment
at former domicile, removal of family to new danicile, purchase of home, stc.) f
s
_ '
~ntering Leon in the 2nd grade
" ~iane in the ist grade
T"~ C E C UNTY RIA:
RECORD VEg~~Sl
1
. '~j NOV 2 9 PM 12 : a~,~,~~-
n0 :~QITRAS
CIERK CIRCUIT COURT
~
~
1 RJRTHER CHtTIFlf that I will comply wHh all other requiremsnts of a le~al residant of this State.
1 FURTHER CERTIFY fihat I have n~ intention to retum to my former domitile, and I intend to remain in FORT
PIERCE, Sa1~17~;1~~.'COL7NTY, FLORIOA, permanently. {
: • C ~f~i,- i
; ~ll,-~
_'J, ,~,`wi•r"`t•~C'~•~, ~ ~ f
. „ ,G _ _ (fVame) ~
' y ~ . _ . Judy Tennant ( Mrs. Leon ) ~
r!% ~ ` J~ ~ ` l
; " ..:4 : ~ ~
•~d . ~ (Acldress)
, = ~
. . . t
Nove , 19~.?. '
Sworn to and wbsuibed before me this 29t1~ day of ~,i~
ROO~ER ~rO1TRA5 ;
CIRCUR COURT Notary Public
8 ~P~~ O.C. My Commiss'~on expires _
Y
;
(To b~ ~oc~hd in duplkah and ori~inat Hl~d wilb Cl~lc Cir~vit Cowt, ~nd deplieM~ wi11e Tax As~er.~ :
i
t
a~K Z6g PA~ 989 ~