HomeMy WebLinkAbout1116 Daclaration ot Domicll• and Citl:enship ~
- 1622~U
TO THE STATE AND COUNTY TAX ASSESSOR, j
. ~
Sl. lUC1E ~OUNTY, FLORI~A: j
~
,
This is my declaration of Oomicile and Citizenship in the State of Flo~ida that 1 am fiiinq this day in acoordanos a~d ~
~n co~formity with Chapte~ 222, Section 222.17. Florida Statutes.
1 was formerly a legal resider~t of ~~C.~Ore T•- I Rew York
~~;~y~ (Sts») }
and I resided at - _._~98 B@C$8C21@I' Ave. _ Howevar I havecha~~d my domid~e
(Street and Number)
ro and am and have t,een a bona fide resident of the State of Florida since ~th dsy of
$Qqgn~~r , 19~i'~, and I roside at 122 OSCe018 Ave. ~
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citisenship, actuel legal reside~ce and domicile in the Staro of Ho~ida.
(insert here any pertinent fads, such as sale of property or business, or relinquishment of employment
at fomner domicite, removal of family to new domicile, purchase of home, etc.)
~ntering Donna ldarie Verde in the Ist grade
FILEO AND RECORDED
ST. LUCIE COUNTY, FLA, !
. - a~ ~~JR~ `lFRIFIED
_ 16223p
'6T DEC I PN !2: 18
o~~.c,t~
II =j ~•s::f'~~TR., -
~ CIERK CIRCUIT COURT
I FURTHER CHtTIFY that 1 will comply with all other requiremenri of a 16ya1 reiident of ihis State. ~
I FURTHER CERTIFY that I have no intention to return to my former domitile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, pe~manently.
:,.~ii:i:.:••
. . ~ .
• J ~ ~ I;~~~ t
% ~ I
~ . ~ -r~.' ~Narr1@)
_ • . . . '
:.t_ . John Verde
_ r'',C~
~ ' , ~ ' (Address)
_ ` ,:t .v~•= ;
Sworn to and subsc~ibed before me this ~ gt day of DRr?p~~,gr , 1967 .
ROGER ~ORRAS
CIRCUIT COURT Notary Public
gy D.C. My Commisaion expires
(To b~ ~x~cvt~d in duplicata and oriqinal ~il~d wiTh CIKIc Cira~if Court, and duplkat~ with Tax A~or.)
e~1~9 P~1f04
_~Y~:.