HomeMy WebLinkAbout1369 Declaration ot Domicile and Citizenship ~642'7$
TO THE STATE AiVD COUNTY TAX ASSESSOR,
Sl. IUCIE COUNTY, FLORIOA:
This is my decla~ation of Oomicile and Citizenship in the State of Florida that I am filing this day in accordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a legal resident of BDQIIQ_ - - u^'"~ti'' #II8
(~;ty) (State)
and I resided at ______Rt 1 BO]c 67 _ Deep G8p _ However 1 have changed my domic,ile
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since _ 29th _ day of
_ iJ811 _ _ 19~8 and I reside at 402 B. DeCordray ~ourt _ _ _
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
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 property or business, or ~eli~quishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.) ~
Entering 2 children in school ~hirley Carter
Randall Carter
FILED AND RECOROEDi
ST. LUCIE COUNTY, ~LA.'
RF:cor?r, v~~±F~r_D
1642"1'8 ~
'68 FEB 12 ~ 10:49
ROG~~.r~, i'OITRAS
CLERK CIRCUIT COURT
I FURTHER. CERTIFY that I will comply with all other requirements of a lega) resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domic,ile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
' • ~
. , ~`i',~ / - - (Name) ~Z'S.
~ r
~ . ~ - = ~eba Morgan ( James )
(Address)
. ,
. _ ~ .
_ Swom to and subscribed before me this 12th day of February ~ 19 68
ROGER POITRAS
CLERK CIRCUIT COURT Notary Public
By ~~~'i~ D.C. My Commission expires
(To be executed_in duplicate and original filed with Clerk Circuit Court, and duplicate with Tax Assessor.)
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