HomeMy WebLinkAbout2610 163~'r~
Declaratio~ ot Don~tcile a~d Citisenshlp ;
I
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FIORIDA:
This is my declaration af Domicile and Citizenship in the State of Florida that I am filing this day in attordante and
in confo?mity with Chapte~ 22?, Section 222.17, Florids Statutes.
1 was formerly a legal ~esident of ~rh.~GBgQ I 1 1~ nei s _
(City) (State)
and 1 resided at -_____._2~1~1~1QIth Ki1~atriCl[ However I havechanged mydomitjle
(Street and Number)
~ to and am a~d have been a bona fide resident of the State of Florida since Zt~L._ _ day of
_ _ OClOber__ ~q 67 and I reside at _~~15 Gratlada Street
(Street and Number) Jputh Bt~lCh
FORT PIERCE, SAINT LUCIE COUNTY, FtORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile i~~ the State of Florida.
(Insert here any pertinent fads, such as sale of property or business, or ~elinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Establish Residency for
FILED ANO RECOROED tax exemptions f
ST. LU~IE COUNTY. FLA. ;
RE COR~ VERtFIED S
~
• 1631'74 `
_
'68 JAN 2 AM I I: 4~ {
~ ~
.:0.•! : U~7F'.:.5 :
CLERK CIRCUIT COURT
I R/RTHER CERTIFY that I will comply with al) other requirementS of a legal resident of this State.
1 FURTHER CERTIFY that I have no intention to retum to my former domic,ile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
~"~.~1.G,~3• 7~
(Name) Ethel B~ McGrue
~3
s
(Address)
Sworn to and subxribed before me this 2nd day of -j ~ u ar v , 1 q 68
: ROGER . K~iTRAS
'JC~ERI~ CtRA1R. fAURT Notary Public
8y ~.C. My Commission expiras
_ , - . -
~ t
•~e'~'~ix~ivf~d in duplicah and oriyinal fil~d with C~k Cira~it Court, snd duplicst~ with Tax A~or.) ~
U R ~ ~
B~ 1b'~ ~ ~591
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