HomeMy WebLinkAbout0056 Declaration ot Domicile and Citizenship 163515
TO THE STATE AND COUNTY TAX ASSESSOR.
Sl. IUCIE COUNTY, FIORlDA:
1
This is my declaration of Domicile and Citizenship in the S~ate of Florida that I am filing this day in acaordancs and
~n conformity with Chapter 222, Section 222.17, Flo~ida Ststutes.
I was formeriy a legal ~esident of -~,DYt Sanil$c Al3~hiaiA
(City) (State)
and I resided at ~ 7343 CEdBL SttL6t. However 1 have chanqed my domiG~e
(Street and Numbe~)
to and am and have been a bona fide resident of the Stete of Florida si??ca gth day of
_ Januarq ~ ~9 68 , and I reside at 1710 Seaway Driv~
(Street and Number)
FQRT PIFRCE, SAtNT lUC1E COUNTY, RORIDA
and this statement is to be taken as my declarotion af citizenship, actual legal retidance and domicile in the State of Horida.
(Insert hare any peninent facts, such as aale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Establish Residency y
So2d B~siness in Michigan F1tEQ ANQ RECORDEO
ST. ~UCIE CQUNTY. FIA.
pian to buy a home here. RFCOR : v~R;F!ED
1fi3515
'68 J~F~ I 6 AM 10
~
:o:,::~ "-o~ ~ f~ :S
CLERK CIRCUIT COURT
_ 1 FURTHER CERTIFY that I wilt comply with al) other requiremer~ts of a leQal rssident of this State.
,
i ~
' 1 FURTHER CERTIFY that I have no intention to return to my former domitite, and 1 intend to remain in FORT -
PIERCE, SAINT LUCIE COUNN, FLORIDA, permanently.
i (N e) George Gruber
~
, ~ 1710 Seawav Dr,yv~, Fe t P~ r_ _ Fta,
. (Address) -
~ -
r •
~ bworn ~o~r~su'bsuibed before me this 16th day of JRIIttztd , 19_b.$..
t . . - i ~:i; ~ _
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- ~OO~E.,R ~~IfRA~S
. G~RK .CI~tCn4~ COU Notary Publ ic
s ~ , , ~ y- G
€ Br D.C. My Commission expires
's
(Te b~ uacut~d in dup{iuh and oripinal fil~d with ClNrlc Urwit Cour~, aed dupliut~ wiN~ Tax A~swr.)
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