HomeMy WebLinkAbout2289 166931
Decla~ation ot Domicile and Citise~ship
TO THE STATE AND COUNTY TAX ASSESSOR,
51. LUC!E ~OUNTY, FLORIDA:
This is my declarotion of Domicile and Citizenship in the State of Ftorida that 1 am filing this day in aooordante and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was forme~ly a legal res~de~t of -_Middlesex I~cM .~~cr~l..~ _
(~;ty) (State)
and I resided at - 400 Fu1tOD St ieet Howevef I have changed my domitile
(Street and Number)
to and am and have been a bona fide tesident of the State of Florida since -~3h-__._ day of
_ _ May__ ,~q
b$ , and I reside at 616 Heach Avenue
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, HORIDA
and this statement is to be taken as my declaration of citizenship, aclual legal residence and domicile in the State of Horida.
(Insert here any pertinent fads, such as sale of property or business, or ~etinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Bstablish residency for entering cbildren in~-school
and homestead exemption
FILEO AND RECORDED~.
ST. LUCIE COUNTY. FLA.-
Michael John Fore~any in the 6th grade RFCORn V~RI~IED
166931
Gary Patrick Foremny in the 4th grade ~68 ~Y 9~ 36
~ ~O~~ER i'OITR S
j - CLERK C{RCU17 COURT
1 FURTHER CERTIFY that I will aomply with all other requirements of a legal resident of this State.
I FURTHER CER7IFY that I have no intention to retum to my former domit+~e, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
~
.
(Name) Jo~ P. ~~c i[
For ny I
~
(Address) '
i
• , 19 68
;~;tiSi~iornt}6'ar~1 subscribed before me this 9th day of .
G~' ~ ~ '
~ . v\~ `1tOG~lt . `P1~! , - - .
' ' -CL~RK CfRCBiT CBUR Notary Public
.
~ _
By"• D.C. ~ My Commission expires
. . , . :
.,~~','~,(JC! .~0,`+.
Ro bi~3~icecuted in dupliut~ snd oripinal Rl~d witb qKic Grcuh Courl, and duplicat~ with Tax Ass~s~or.)
dooK171 ~2284
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