HomeMy WebLinkAbout2393 oeciaration ot DomiCile and Citisenship 1s305~
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. U1CIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day i~ acoordance and
in conformity with Chapter 222, Section 222.)7, Florida Statutes.
1 was forme~ly a legal resident of ___~nk.iIIZ_ . _ KCflt JC$,j1 _
(CiH) (StaM)
and 1 resided at _-~_,446 However 1 have changed my domic~le
(Street and Number)
to and am and have been a bo~a fide resident of the State of Florida sincc ~i~th _ day of
- _ _ _ . _ ~ju~~t ~9 64 ar~d i ~eside at __~Z40 Linwood Aveaue
(Street and Number)
FORT WERCE, SAIN ~LUCIE COUNTY, f~ORIDA
and this statement is to be taken as my declaration of citizenship, adual legal residence and domicile in the State of Florida.
(Insert here any peninent facts, such as sale of property or busi~ess, or relinquishment of employment ~
at forme~ domicile, removal of family to new domicile, purchase of home, etc.)
Establish Residency for homestead purposes ~
~ ~
y f
EILED E CO NTY ~F A ' ~
ST. LUC ~FIEO ~ ~
Ai63a5'~
'61 OEG 29 ~M 8:38
<<p~'tR i 01 i R:•S
CLERK CIRCUtT COUR7 =
I RIRTHER CERTIFY that I will eomply with all other requirements of a legal resident of this State.
1 FURTHER CERTIFY that I have no intention to return to my forme~ domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUN?Y, FLORIDA, pe~manently.
_ ,
~
. ' -~lLC~rrJaL.. ;
(Na"ne) Jonah Anderson
. ~
(Address)
Swom to and subscribed before me this 29th day of ~Ce~ber 19 67 ~
.
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~ " . Rv¢ER_ RQln~ws i
C~K 4Ut~UiY C ItT - Notary Public i
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` _ D.C. My Gommission expires '
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: ~ ZTe~ iw ~i~c~arNd in duplicab and oriqinal fil~d wi* t.t~rlc Urwit Cour~, snd dupticN~ with Tax Ass~ssor.)
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