HomeMy WebLinkAbout2753 1 ~
Declaratlon ot ~omicile and Citlzenship ~
1632'75
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. IUCIE COUNTY, FLORI~A:
This is my declaration of Oomicile and Citizenship in the State of florida that I am filing this day in aocorda~ce a~d
~n conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal ~esident of ,Stuttgart _ Gernany
(City) (State) i
and I resided at 4A3 _Wald P18t2! However 1 havechanged my domivle
(Street and Number) ~
to and am and have been a bona fide resident of the State of Florida since 19tb day of ~
E
F
F~b• 153 North Naran3a Ave. ~
. 19
67, and I reside at
(Street and Number)
FORT PIERCE, SAINT lUC1E COUNTY, RORIDA
and this statement is to be taken as my detlaration of citizenship, actual legal residente and domicile in the State of Flo~ida.
(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.)
Bstablishing residence and applying for homestead
{
~ 1Wr Nason was in Germany in the Aroy for 4 years
FILEO ANp RECOROEO
ST, IUCtE COUNTY. F~A.
RECORD VERIFlEO
ls3
'68 JAN 4 PM ~ : ~5 ~ i
22
- o :,_-;t ;o; -~~i~l~l.~ #
CLERK CIRCUIT COURT _ ~
~
:
I RJRTHER CERTIFY that t will comply with all other requirements of s legal resident of this State.
! FURTHER CERTIFY that 1 have no intention to return to my former domiti~e, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~
~
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~~it:i171llii:i;~~~ -'r:~ k j
- '~~~`~1~'' CO'U ~~i~~. • (Name)
cJ•=.~ ~ 'r;~
~ •:~;~~~.~"~~'G Ricbard B Nason
J ~s~ ~ `T~C~~. , ~7SA Ci~i~~.
I'' A? =.~f ~ 6 3 r.1o.., a.ct~,.,rr~, n+F ?.~nt Sr.LVC•~
- 1 ~ . ~
~ _ ~ ~ • ~ : (Address) ~
, ,4,. . ,
. N` , r :
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t~Xp~ tdv~d~subsuibed before me this 4th day of Januar~_, 19 68
. ~
ROGER POITRAS
CIRCUR OWtT Notary Public !
~ `
gy °iL'~-~ D.C. My Gommission expires
; - '
:
f (To b~ ~x~evt~d in duplieat~ and ori~inal fil~d wilb Cl~ek ~irarN Court, and duplieah with Tax Ast~or.)
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' - ~169 ~2734
~v. 13 - .