HomeMy WebLinkAbout0094 Declaratlon ot Domicile and Citizenship
t
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, F~oR~oA: 165456
n
This is my declaration of Domicile and Citizenship in the State of Florida ihat I am filing ihis day in accordance and
in rnnformity with Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a legal ~es~denr of - Brownf ield Texas
(City) (State)
and I ~esided at _ 312 NOrth llth However 1 have changcd my domic.ite
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since -_-___-___30th__ day of
January 68 108 North 24th street
_ ~ _ _ , 19 , and I reside at
(Street a~d Number)
PORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actua! legal residence and domicile in the State of Horida.
(Insert here any pertine~t fads, 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.)
Bstablishing residence
FILEO AND RECORDED'
ST, (.UC~,~ COUNTY. FIA:'
R~CO~~~` t~~~~r-iF0
'68 ~ z2 Ms~ss
. 46
CIERK C RCUIT COURT
i
~
!
< <
~ ~ ~
i ~ ~
€ _
~ ~ i
i'~
~
1 FURTHER CERTIFY that 1 will oomply with all other requirements of a leyal resident of this State.
I FURTHER CERTIFY that 1 have no intention to retum to my former domicale, and I intend to remain in FORT
PIERCE, SAINT lUC1E COUNTY, FLORIDA, permanently. ~
, :1~~::~~.y~~ ,a'~~' ~ ~
(Name)
~ ~ , - - -;j Robert Bandy
~ " • : :
~ - ~-~r - ~ - (Address)
•P. ~ `
~ - ' _
' . _ ~
~ .•y C.p
Sv~iorir,tp.and subsuibed before me this 22nd day of rch ; 19.~$.
ROGER POtTRAS
LFRf( CIRCUIT OURT Notary Public ~
~
B O.C. My Commission expires
i
,
. ~
f
Ro b~ ~acut~d in dupilcat~ and oriainal Rled wkh Cl~rlc Circuit Court, and duplicah wHh Tac An~s~or.)
aoox~ ~
1 PACE 94
~ -:,~.v ~ ~ - - - ~ r':~ -R`~''
;
~:.._::z .