HomeMy WebLinkAbout0888 ~eci~~atio~ ot Domicile and Citisenship i
165965 ;
TO THE STATE AND ~OUNTY TAX ASSESSOR, F
Sl. IUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in accordanoe a~d
~n oonformity with Chapter 222, Section 222.17, Flo~ida Statutes.
s
1 was formerly a legal resident of Yilwauke e ~Ti s eo n ~ai n
(c;ty) , (Staro)
and 1 resided at -8623 We8t 1~'OIIddulac However I have changed my domic,ile
(Street and Number) ~
to and am and have been a bona fide ~esident of the State of Florida si~ce ~th day of
?15
_ Ap]Cfl , 19~$, and I reside at ~`~t WEST GAR_II~IA AYE_
(St~eet and Number)
FORT NERCE, SAINT LUCIE COUNTY, RORlDA
and this statement is to be taken as my declaratio~ of citizenship, actual legal residence a~d domicile in the State of Ho~ida.
(Insert here any pertinent fads, such as sale of property or business, or relinquishment of employment
at former domicile, ~emoval of family to new domicile, pu~chase of home, etc.)
~tering children in school FILEO qNp R
ST, LUCIE COUN
~Y ~ED'
f~E:.^. ~1~n ~ ~R,~,~FIA,
.~s$~s
'68 APR a A~ : 43
~ ~e.~~r .~oirP~•S~%~.~Z
LERK CIRCUfj COURT
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1 RIRTHER GERTIFY tfiet 1 will aomply with all other requirements of a leyal resident of this State.
I 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, pe~manently.
~ ; i~; ~ (Name)
? ~ ~ Vana K. Day ( ~dra Jesse
~ • v ~ . . r ~!a .
G
.J ' _ ~ - • ~ - "
- - : ,q ; (Address)
; v?`; ° .
~ 'f~,Ai~_~Yvbstrib~d before me this 8th day of _-~Dril , 19~~.
~ V 7 L l,t',1..•
ROOR lOITRAi
q~+RK `~~~NT COtIRT Notary Public
i~
~ D.C. My Commission expi~
(T~ M~a~wl~ M d~WcaN a~i ~ei~iw~l Al~i wi11~ Cl~k Ci~aiif Gw~. aaa d~lkal~ wilh Tax A~~a
a~i71 ~ ~87. -
- - _ _ ~ ~ = ~ r.