HomeMy WebLinkAbout0554 Deelaratio~ ot Domicile and Citfzenship ~63"744
TO tHE STATE ANO COUNTY TAX ASSESSOR, i
1
Sl. LUCIE COUNTY, FLORIDA:
This is my declaration of Uomicile and Citizenship in the State of Florida that I am filing this day in attordance and
~n conformity with Chapter 2~2, Section 222.17, Florida Sfatuies.
Rocky Gap Vir
I was formerly a legal resident of g1D18 _
(Ciy) (State)
and 1 ~esided at ROUt!! ~2 However I have changed my domicjle
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since 6 t h__ _ day of
January I~linut _ ~
_ ,~968 , and I reside a~ e Maid Groves Orange Ave _~att.
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, adual legal residence and domicile in the State of Florida.
(Insert here any pertinent fads, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Place Children inSchoo2 '
Breada Lou Myatt 11 yrs. ST. LUC ~J~ RE~ORDED
~'E: ~ pa~ ~U~1Ty F~A.
Jonn wesiey w~att 6 yrs. 163~44'ED ~
's8 ~~rl 23 ~ 2:
y°
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f
,
I FURTHER CERTIFY that I will comply with all other requirements of a legal resident of this State.
I FURTHER CER7IFY that ! have no intenlion to return to my former domic.ile, and I intend to remain in FOR7
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
~
( e) anfo d Wyatt
_ - (Address)
Sworn to and subscribed before me this 23rd day of Ja~uarY ~q 6$,
. ~,,,:~,u+~.~,.. .
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:'C'~ ~J
ROGER PORRAS '~G~~
G ~J.F %a =
LERK CIRCUIT CCtM~v -'r ~1 ;p _ Notary Public
~s" ~ ~ l • ~ M
BY ~ ' ~ `,~G,o y Commission expires
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Ro be execnMd in dupliuts a1r~d, 4F~Itta1`'#led with Cl~rk Circuft Court, and duplicst~ with Tax Ass~s~or.)
-BOOK 1 1 V PAGE 5~~ '
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