HomeMy WebLinkAbout1843 Decla~atio~ ot Domiclle and Citisenship
16~~i~"23
TO THF. STATE AN~ COUNTY TAX ASSESSOR,
51. UKIE COUNTY, fIORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in aaoordanoe and
in oor~fo?mity with Chapte~ 222, Sectio~ 22Z.17, Flo~ida Statutes.
I was formerly a legal resident of aewton Falle Ohio
~C~ty~ (State)
and 1 resided at - Rt 3 Bo7c 128 _ Howaver 1 have changad my domicG~e
(Sheet and Number) t
i
ro and am and hav~~en a bona fide resident of the State of Florida since - ~9th day ot ~
, 19~~, and I ~eside at 1~~8 Ju8A1t6t Avs.
- (Sireet snd Number)
FORT PI~CE, SAINT LUCIE COUNTY. RORIDA
and this statement is to be taken as my declaratien of citizenship, actual legal ~esidence and domicile in the Stste of Horida.
(Inse~t here any pertinent fads, such as sale of property or business; or rel~nquishment of employment
at former domicile, removal of family to new aomicile, purchase of home, etc.)
Eetablieging reeidence
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p RECOR~~D .
p AN ~~V ' ~ F1.1?• ~ ~
ST~VCI ~n ~1sF~F0
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~9 PM ~ ' 05
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CLERK
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1 FURTHER CERTIFY that 1 will oomply with alt other requiremenri of a legal resident of this State.
itt:~•~:
I.•P~T~~tF~ that I have no intention to retum to my former domic.ile, and I intend to remain in FORT
• n ~t.<~
= PIERCE;
_SA`T~;L1tCIE~~E'
,~~~Ft:'FIORIDA, permanently.
f .,~:~~f~. :°i Q'/r ,
~ : rn• X { y : - aJ : ~ ~ _ ~ ~f~~L/~~/F~~ -
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brl ~ williaa M~dartin BricYer .
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~ ^ • •C ' Y/ iL~/!~w L~LaG~ivY
~ ~rii~ eae~ Bric.lcer
~ Deceaber ~
~ Sworn to and wbsuibed before me this day of . 19~• }
~ .
ROGER rOITRAS ~
~ CIRCUiT COURT Notary Public "
g ~O`~'~u~~ D.C. My Commission expires ,
~ ~
~ (To b~ bncui~d in d~plicst~ and ori~inal fit~d wilb Cl~ek Cirwif Cou~, and duplial~ wilb Tax AsMaor.) i
~ :
t ~
~ ~~169 ~1828
No. 13 . •