HomeMy WebLinkAbout0617 De~laralion ot DomiCil~ and Citis~nship
TO THE STATE AND COUNTY TAX ASSESSOR, ~Va7~s
Si. IUCIE COUNTY, FLORIDA:
This is my decla~ation of Oomicile and ~tizenship in the State of Florida that I am filinq this day in aooordanoe and
in oonformity with Chapter 222, Section 222.17, Florida Statute:.
I was forme~ly a legal ~e:dent of N~ y3rgiei~ ZOr?~
(City) (S1ate)
and 1 resided at Box ~Q2 . However 1 have cha~psd my domi~le
(Street and Number)
to and am a~cl have been a bona fide resident of the Sfate of Florida since -3.~.td day of ,
1NarCh , 19 68 , and I reside at 803 Pale Ave~ue
(Street and Number)
~ORT r1E1tCE, SAINT LUCIE COURITY. FLORIDA
and ihis statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
(Insert here any pertinent 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.) '
Bnteriag ~t Lynda Joy Joena
FIl.EO AND RECORDED` in lat grade
ST. LUCIE COUNTY. FLA.
r~~ ~nr~ E?:~rEp .
165`785
'68 APR 3 AN 9:47 ~
"~C~:~R ;~t~ITR4$
CLERK CIRCUIT COURT
i
~
~
1 FURTHER CERTIFY that I will oomply with all other requiremsnts of a le~al resident of this State.
_ 1 FURTHER CERTIFY that I have no intention to retum to my former domitile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
~ ~ ~
= ~ ( ar„e) rs. J Joena
- (p?ddress)
; . ~
'~~~81A1~Yjf~l4r~wbsaibed before me this 3rd day of _-~~?ril , 19~8.
~:'V~~ ~ E--Y. C ~r~ .
.ti~ ~r,~
• ~ ~
: ~ti~,:yJ.~ : • J, ~s
~ * ~ ~ 1~} ~~j~.: Notary Public
~ k' M!'~
. ~ 1
' i' D.C. My Commiuion expires
, ; ;
~ , ; . :
:
li~~r:~ ,
(Te iii"szicut~d ie d~plicab and o~inal Al~d witb C1~rk C~aiit Cour1, ~nd duplksh wilb Tax As~or.)
~ ao~K~~~1 P~ 617,
7dp. 19 • - - - -
-
~ . . _ _ _ , _..v.
~