HomeMy WebLinkAbout2865 D~ctaa~ation ot Domtctl• and Citls~nship
1633b0 ~
TO THE STATE AND COUNTY TAX ASSESSOR,
51. IUCIE COUNTY, FlORIOA: ~
This is my declaretion of Oomicile and Citizenship in ths State of Florida that 1 am filin~ this d~y in aaoordanoe and
~n conformiy with Ci~apter 222, Sectio~ 222.17. Fbrids Stah?Ms.
1 was formeriy a legal resident of Seuth WalC,~ I=i~ C01iQty NeM Yerlr
Kiiy) (Stsh)
and I resided at _ WA r~e r H311 ~p ad However ! have d~arqsd my domic3le
(Street and Nurnber)
to and ar~ a~d have been a bona fide resident of the State of Florida since 14th ~y
Nnv~~b L 19~~, and ! reside at 63R BnaCb AY.ca,u~y- R~Y~•i {
(Sheet and Number) ;
FORT PIEItCE, SAINT tUC1E COUNTY. RORIDA ~
~
and this statement is to be taken es my aeclaration of citizenship, ectual legal residence and domials in the Stste of ~ida. ~
i
(Insert here any pertinent fatts, such as tale of property o~ business, or relinquishment of employment ~
i
at former domicile, removai of family to new domicile, purchase of home, etc.) i
;
;
Wishes to file for ho~estread eae~ptioa i
FiLEO AND Rf CORDED ~ ~
ST. LUCIE COU(VTY~ FLA.~ ~
RECORD V~ 3
RlFtEO ~
; '68 JAN 9 pN 16~s~ (
3 : Oy I
~:e~=_-~ ~o:r~~s +
CLERK CIRCUIT COURT `
_ ~
1 FURTHER CERTIFY that I will oomply with all ofhe~ requiremsntt of a le~al resident of this State.
i FURTHER CERTIFY that I have no intention to retum to my former domiGle, and I intend to ~emain in FORT ;
j PIERCE, SAINT IUCIE COUNTY, FIORIDA, permane~tly.
~
(Nam~)Walter W. Arnold ~
~
(Address) ~
1
;
Swor~'~Ib%wi~! wbsuibed before me this 9th ~y of Tanuarp , 19~$_.
~ ~?i ~.Cr• f%., -
J
' ' J~1'i=' .L'' •i .
~ t~Y~ e.~~~~C1R~~~0~iRT Nofary Public .
8y . ~ D.C. My Commiuion expires
,
~ = ,
' '~,;-~-G,~• -
~ tTe•b~'ilt~aNd in duplicah snd o~i++al Al~d witk CIKlc Gnarit Courl, and ehrplicN~ wHb Tsx AsMS~or
)
r
~ g~~.69 P~2846 ;
~