HomeMy WebLinkAbout2787 ~63345
~eclaration ot Domicile and CIt1s~~ship
TO THE STATE AND ~OUNTY YAX ASSESSOR, ~
~
Sl. IUCIE CC3UNTY, flORIOA: '
This is my declaration of Domicile and Citizenship in the State of ftorida that 1 am filing this day in aooordance and
in conformity wiih Chapte~ 2~2, Section 222,17, Florida Statutea.
I waa formerly a legal resident of - Ste=line yiraiaia
(City) (Stsro)
and 1 resided at `$p~1ie_~ grnt~d~ua._-Eata,~ . However I have chanQed my domicjle ~
(Straet and Number) j
~
~
to ard am and have been a bona fide resident of the Stste of Florida since lst day of ~
i
_ Octobet__ , 19
67 , and I reside at 1502 Cortez Blv.~ ~
(Street and Number) ;
;
fORT MERCE, SAINT IUCiE COUNTY, RORIDA
and this statement is to be taken as my decla~ation of citizenship, actusl leflal residence and domicile in the State of Horida. ~
(Insert here any pertinent fads, such as sale of properly or busineu, or relir~quishment of employment i
at fo~mer domicile, removal of family to ~ew domiciie, purchste of home, ett.) ~
Establish Residencq for ho~sestead
eaen~ption ~
,
1
;
' RECORDED~. ~
FIl.EO AND . i
S?.REC RD VERIFIEO A• f
t
i633Q5 . '
~68 JAN 5 P~1 3, 53~~
•s~
r.~~~~ ,~p17ft?-
CLERK CIRCUIT COURT
I 1 FURTHER CERTIFY that I will compfy wifh atl other requirements of a leyal resident of this State.
1 FURTHER CERTIFY that 1~ave no intention to retum to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
(Name) Fedal~a . Hagood
~ '
~
~
i ~
(Address)
i
S~?iarn•to:and =.iibscribed before me this $th day ~f .lat'luary , 14_St$.
; ; . -
_ -
- -..ROAE~J~bIrRAS - '
~ qJ~K CIRCUlT COURT Notary Public '
.
~ gy - D.C. My Gwnmission expires
t _ , •
~ T
{
E Ro b~ uncuf~d in ~plkat~ and ori~inal fil~d wilb t~ic pra~if Co~rt, and dupliuN wilh Tax As~sor.)
;
s~169 ~2768
.