HomeMy WebLinkAbout2815 r
.
~ ~ lEi~3~3~6 ~
~la~atio~ ot Domicil• and Citizenship
TO TNE STATE AND ~OUNTY TAX ASSESSOR, ~
Sl. LUCIE COUNTY, FlORIDA: !
This is my detlaration of Uomiciie and Citizenship in the Stsre of Floride that 1 am filin~ this day in sccordanoe and
in conformify with Chapter 222, Saction 222,17, Florida Statut~s.
1 was fo~merly a legal resident of Ne~r York City New Yort
(City) (StaN)
and 1 resided at _ 18230 HillSid! Ave.Apt. S RK . However 1 hsve chanqed my domiti~e
~ (Street and Number)
to and am and havs been a bona fide resident of the Stste of Fiotida sinc~e lbth ~y ~
230 Banyan Drive Port St. Lucie Rv. Pk ~
Sept , 19
66 , and 1 reside at ~~~~_~~~l•
(St?set and Number)
FORT PIERCE, SAINT lUC1E COUNTY, I~IORIDA ~
and this statement is to be taken as my decla~ation of citizenship, actval lagal residenoe and domidle in ihe Stero of Horida.
(Insert here any pertinent facts, such as sale of p?operty or busineu, or relinquishment of employment
at former domicile, removal of family to new damicile, purchase of home, etc.)
~stab2ishing residence and applying for homestead
will start the Naturalization proceedings in March
8
. Alien Registration # 13204803 F~IED AND RECORDEO'
ST. LUCrE COUNTY. F~q; •
RECORR rFrEp
•~6
'6B JAN ~ AN 10 : 2 9
~o~;~; ;-~~rR.:s
C~ERK CIRCUIT COURT
1 RIRTHER ~ERTIFY that i will oomply with all other requirements of a le~al resident of this State. t
?
. i
i
f fURTHER CERTIFY that I have no intention to return to my former domicjl , nd 1 intend to remain in FORT }
PIERCE, SAINT LUCIE COUNTY, FLORIUA, permanently. ~
:tu:tL•J;. • ' i
~ ;
- ~ ` • ~ ~Q~,~~f~'/~ . t
- _ . t ?~+e)
. N~ Enriqueta Pfranger
_
- . . ; ; -
- '
- _ . • ; : _ (Address)
~ i~;~ ~ Y 'ti
~~!Swom ro and subxribed before me this 8th day of January 19 68
.
ROGER POITRAS
CLERK CIRCUIT COURT Notary Public
~--uCc~ ~c~:-l.e,2~
D.C. My Cornmiuion expires
(To b~ ~x~t~d in duplicat~ and ori~in~l Al~d wilb Cl~rk Cira:if Caref, and dvplitMa wt~h Tax As~or.j
g~169 ~2796 - `