HomeMy WebLinkAbout2724 163~254
O~cfa~atlon ot Oomicile and Cit[zenship
TO THE STATE AND COUNTY TAX ASSESSOR.
Sl. LUCIE COUNTY. FLORIDA:
This is my declaration of Oomicile and Citizenship in the State of Florida that 1 am filing this day i~ accordance and
~n co~formiy w~th Chapte~ 222, Section 222.17, Florida Ststutes.
I was formerly a legal ~esidant of .__MB~leMOOd r1eM/ Jersey_
(Ci1y) - (State)
and i resided at _____35 _CO!]COtd__Avt.~___ However I have changed my domiti~e
Y (Street and Numbe~)
to and am and have been a bona fide resident of the State of Florida since _11Zh day of
Noveo~r 67 221 Osceola Street
- - 19 and ! resi~le at _
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA '
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 property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
, Establishing residence
FILEO ANO RECOROEO
gT. LUCIE COUNTY. FLA. ;
RECORD VERIFIEO ~
' t63?254
~ '68 JAN 4 12:OS
~:O~En f•OITRAS
CLERK CIRCUIT COURT
~
i.
~
I FURTHER CERTIFY that I 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 domiG~e, and I intend to rernain in FORT
PIERCE, SAINT LUG1E•~OUNTY, FLORIDA, permanently_
'fl' - ~ • ~ YW"~v'~
• - (Name)
_ • . • - Margaret M, Rowe
~ , -
: . . ~
. ~ = (Address)
~~'r, ~ i r J
~4th anaury , 19_~8
Sworn to and suburibed before me this day of .L
ROGER POITRAS -
CLERK CIRCUIT COURT Notary Public
gy e~c.~.-t~C~ ~~~%~~x~ D.C. My Commission expires - .
(To b~ ex~cufad in dupliub and ori~inal filed with Clerk Ci~tuit Court, snd duplicat~ with Tax Ass~ssor.)
~1~ ~T.+05
tdc. 19
I