HomeMy WebLinkAbout2688 Declaration ot D~micile a~d Citisenship
TO THE STATE AND COUNTY TAX ASSESSOR, js~S
51. IUCIE COUNTY, FLORI~A: 4
Yhis is my declaration of Oomicile and Citizenship in the State of Florida that 1 am filing this dsy in accordanoe and
in conformity with Chapter 222, Settion 222.17, Florida Statutes.
Pittsburg penn
1 was formerlY a legal resident of . _ - - -
~C;~y~ (State)
and 1 res~ded ar108__ Thornberr~_Drive- However I havechanged my domicjle
(St~eet and Number)
to ar.d am and have been a bona fide resident of the State of Florida since _1St day of
anuary bg
J.___ _ l9____, and I reside at 3014 Woddring Lane Port St.Luc~~_
(Street and Number)
;
PORT PIERCE, SAINT LUCIE COUNTY, RORIDA j
and this statement is to be taken as my declaratio~~ of citizenship, actual legal residence and domicile in the State of Ho~ida.
(Insert here any pertinent fads, such as sale of properry or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.) ~
~stablishing residence t
FIlEO ANO RECORDED
ST. ~UCIE COUNTY. FLq,
RECORD V~RIFtED
. '~8 JAN 3 163?225
AM II: 58
~ ~oz~~
t=o~T , ~l~~~`~'
CLERK CIRCUfT COURT
~ I FURTHER CERTIFY that 1 will comply with all other requirements of a legal resident of this State.
~
~
,
I FURTHER CERTIFY that I have no intention to return to my former domitile, and I intend to remain in FORT ;
;
~
PIERCE, SAIf~~:l~iE,~OUNTY, FLORIDA, permanently. _ ;
• . . ~ , ~iL~~_ ,
- ~ ~ i c` ~ , ~ l/ ~
. _ c
. ~i':' ~ F-~~
' : ~ " . 7 ~ (Name)
. ~ . ~ ~i - ohn N. Welsh
• t9\ . ~
~ ~
i~~ ~ (Address)
i~,~
Sworn to and subscribed befose me this 3rd day of .1gDSUry ~ 19 68
ROGER POITRAS
CIRCUIT 40URT Nota.ry Public
_ g 0.C. My Commission expires
Y
(To b~ ~x~cut~d in dupliub snd oripinal fil~d with Cl~rlc Circuit Cour~, snd dupliuh with Tax Ass~ssor.)
g~x 1~y Pac~ ~~i~9
. No. 13 •