HomeMy WebLinkAbout2637 Declaration ot Domicile and Citisent~nip ~
TO THE STATE AND COUNTY TAX ASSESSOR, ~
Sl. LUCIE COUNTY, FIORIDA:
This is my declaration of Oamicile and Citizenship in the State of Florida that 1 am filing this day in acoordance and .
~n conformity wilh Chapter 222, Section 22?.17, Florida Statutes.
1 was formerly a lega) resident of _ DetrO1L MiChigBll '
(C;ty) (State)
and 1 resided at _.__._14800 __FrEelBIld AV@. However i have changed my domitile
(Street and Numbe~) ;
to and am and have been a bona fide resident of the State of Florida since _8th day of ~
___February__ _ _ _ 19 _67and I reside ar . 760_ Axrosa Blvd
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
(Insert here any pertinent facts, such as sale of properry or business, or relinquishment of emptoyment '
at former domicile, removal of family to new domicile, purchase of home, etc.) ~
~ _
fistablishing residence
FILEO AND RECORDED .
ST. lUC1E COUNTY. FI.A.
RECORD VFRIFIED
16319'7 .
~ '68 JAlt 2 PM 2: 3 3
~ f<1 =i:i-: :~0;7 t~.:.S
j CL~RK GIRCUI7 COURT
I FURTHER CERTIFY that I will comply with all other requirements of a legal resident of this State. ~
I FURTHER CERTIFY that 1 have no intention to return to my forme~ domicjle, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
~ ~ ~ .
. ~ ~ - Robert J(Nam enzies
• (~s)
. Jean B. 1~lenzies
- ~ - 2nd
Swor~ to and iubscribed before me this day of Janua rn , ~q 68,
ROGER POITRAS
K CIRCUIT COURT Notary Public
gy D.C_ My Commission expires
lTo b~ ~x~t~d in dupliuN and ori~inal Rled with q~rlt Grcuit Court, and dupliu» ~rith Tax Ass~ssor.)
a~~69 ~2618 '
t,1c. 13