HomeMy WebLinkAbout0715 i
t
Declaratio~ ot Domtaile and Cittsenship ~
16585$ '
~
TO THE STATE AND COUNTY TAX ASSESSOR, t
k-
51. WCIE COUNN, FLORIDA: ~ ~
This is my decia~ation of Domiciie and Citizenship in the State of F{orida that I am filing this day in aaordanoe and ~
in co~formity with Chapter 222, Section 222.17, Florida Statutes. ~
t
~
,
i was formerty a teyat ~esideni of p~'~~~s~~~~e rieM Ypr~ _ i
(City) (State)
and I resided at . However I have changed my domiCi~e
(Street and Number)
i
to and am and have been a bona fide resident of the State of Florida since 3rd - day of ~
~Qrll , 19 68and I reside at 106 W. Prima Yista Blvd. ~
(Street and Number)
FORT PIERCE, SAfNT lUC1E COUNTY, RORlDA
and this statement is to be taken as my declaration of citizenship, actual lega) residence arid domicile in the State of Horida.
(Insert here any pertinent facts, such as sale of property or business, or retinquishment of employment
at former domicile, removal of family to new domicile, purthase of home, etc.)
FILEO AND REC~RDED ~
Bstabiishing residence ST, lUC1E,C0UNTY. FLA.
~G.C, f ~17~8
~
Bntering children in school ~ Sq ;
68 APR 4 PM
iin'~ER ~ O:TR :S
CLERK CIRCUIT COURT
i
I
i
l
~ -
~
1 FURTHER CHtTiFY that I wil) comply with all other requirements of a(eyal resident of this State.
~
_ f
I FURTHER CERTIFY that 1 have no intention to return to my former domiti~e, and I intend to remain in FORT ~
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~
~
V~~
~ _ Stanley ~Name Oien
~ ~~:UaT~~~ii';
~ .J•_.l'~ ' CG,'•. y / ~'1 ~6-z~c.. ~c-~.atii
~ _~V. ~ j
~ - - • - . • - ~ : t1odrkee~bc x i f e
- . ~ - Marion Oien
:i :.~..t' :...t =t:r
+ , • ~ 1 • Y
%,c1~~'$worn ta and s~c,oibed before me tnis 4th day of April , 19 68 . '
~
.••'~O'~`.
~ c?e ~ ~
~ Roa~#".ao~?s
CIRCUIT C~QURT Notary Public
`~,C/ ~
~ gy ~O D.C. My Commission expires
(To b~ uacuhd in duplicah and ori~inal fil~d with Cl~lc Grwit Cou~t, and dupljeata wiTh Tax As~or.)
aoo~171 715
~ ~ - -
- - - - ~ ~ _ _ - - - ~~w-~;~~ -
_ ~