HomeMy WebLinkAbout1081 Declaration ot Domicile and Citlsenship
16407'4
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl . LUCIE ~OUNTY, FLORIDA:
Ti~is is my declaration of Oomicile and Citizenship in the State of Florida that I am filing this day in aooo~dance and
~n conformily with Chapte~ 222, Section 222.17, Florids Statutes.
I was formerly a lega~ resident of Elmhurst New York i
(City) (State) ~
nnd 1 resided at _ 93-35 Lamont Avenue . Ftowe~er ~ ha~e chan~ed my domtcile
(Street and Number) " ~
~
to and am and hsve been a bona fide resident of the Stata of Florida since 1St day of
August 66 309 Granada Street ~
, 19 and I reside at j
(Strnet and Number) E
(
;
~ORT PIERCE, SAINT LUCIE COUNTY, FLORIDA ~
~
and this statement is to be taken as my declaration of citizenship, actual legal residenca and domicile in the State of Horida. ~
(Insert here any perti~ent facts, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.) ~
Purchased a home located at 309 Granada Street, ~ort Pierce, Florida.
Lot 7, Block 11 of the revised map of Fort Pierce
Beach Subdivision.
~
FILED ANO RECORDED
ST. LUCIE COUNTY. FLA. ~
RE:COR(~ V~RIFiEa
16407'4 `
'68 FE6 5 AM I O: 3 2 ~
i;4;;E_F ~~OITR~S
C~ERK CIRCUIT COURT
1 FURTHER CERTIFY that I will comply with all other requirements of a(e~al resident of this State.
• . 1
I FURTHER CERTIFY that 1 have no intention to return to my former domicjle, and 1 intend to remain in FORT
~
PIEi2CE, SAINT LUCIE COUNTY, FLORIDA, permanently.
I L~• 1
~-O •
( ame) D. W. Camacho
~
~
309 Granada Street _Ft. Pierce, Ela. ;
(Address)
!
i
. Sworn to and subscribed before me this Sth day of Februsry ~q~~ ~
.
~ ~ I
ROGER POITRAS ~ €
G.ERK CIRCUIT COURT ~ i t~atery Public ~
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(To b~ ~x~eut~d in duplicat~ ~nd orlpinal fil~d wita.. _C1%ile;~";CebK,°and dupliub with Tau /1sws~or.)
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