HomeMy WebLinkAbout1296 1642~.~
y Declaratio~ ot Domicile and Citizenship
TO THE STATE ANO COUNTY TAX ASSESSOR,
Sj. LUCIE COUNTY, FIORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in actordante and
~n conformity with Chapte~ 222, Section 222.17, Florida Statutes.
PgTER3BBURG IND.
I was formerly a legal resident of _ . _ - -
~C;ty) (State)
and I resided at _Rt. 5 . However I have changed my domiCile
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since _ 5th_ day of
February 68 Gen. Del. A B C Trailer Ort.
19-___, and I reside at
(Street and Numbe~)
FORT PIERCE, SAtNT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in ihe State of Florida. _
(Insert here any pertinent facts, such as sale of pro~erty or business, or relinquishment of employment
at former domicile, removal of family to new domiule, purchase of home, etc.)
FNT~RING CHII,D IN PIIBLIC SCHOOL
JOHN AII,HITS (8 yra)
FILED AND RECORDED~'
sr. LuCiE coUr;rY, FLa.
f'.. C;t? ^ trrFtF'r(:
'68 fE8 8 PM I: I y 64
~ f:r+ :C~ r'-O~Tr~:.S
~~-ERK CtRCU1T COURT
1 FURTHER CERTIFY that I will mmply with all other requirements of a legal resident of this State.
I FURTHER CERTIFY that 1 have ~o intention to return to my former domiule, and I intend to remain in FORT
~ PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
~ ~,~l~G~~! ,~_i~i,G[/
' . (Name)
~ N :t.~?~?:~~..,
''S ~ l~ Mra. Paul Ylilhite
~ ~ ~ ~'•I . . ~/t/~
- t-, ' (Address)
- ~;i. . ~t "
V V " . _
_ - ~ 8th February 68
;,Sworri Jo: ar~ subscribed before me this day of - , 19 .
. - ~r .
,
, ~i • ~
. ~
. 1tOGER'~' ITRAS
C C R IT COURT Notary Public
~
gy D.C. My Commission expi~es
(To bs ex uted in duplic~te and original filed with Clerk Grcuit Court, and duplicate with Tax Assessor.)
' BOOK~~~O PAGE~~92
~ ~ ~ .
~ . ~
;
.
~S.`;_~ .`~„~x z~
^ - x4 -