HomeMy WebLinkAbout0649 16''?"~'S3
~ecta~ation ot Domicile and Citizenshlp
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FIORIDA:
This is my declaration of Domicile and Citizenship in the State of Fiorida that 1 am fili~g this day in acoo~~danos and
in cw~formiry with Chapte? 222, Section 222.17, Florida Statutes.
Baltimore
1 was formerly a legal resident of M8~~18rid
(City) ' (Stah)
and I ~esided at i 628 RBnible~tood Road . However i have chanAed my domicale -
(Sireet and Number)
to and am and have been a bona fide resident of the Stafe of Florida since 18t day of
_ Mav ,~9 68 , and ~ reside at 3008 Overbrook Drive
(Street and Number)
FORT rIHtCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declarotion of citizenship, actual legal resideRCe a^~ ~omicile in the State of Horida.
(Insert he~e any pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to ~ew domicile, purthase of home, etc.)
~ Homestead
FILEp AND RECORDED
~ ST. I.UCIE CCUNTY. FLA.
E,- ^R^t'+ ~I~,r^
16'7'?'S3 ~
'68 6 M Z ' /
a ~ . ~,~~-p~s
C~~RK'CIRCUtT COURT
! RJRTHER Ct-RTIFY that I wiU aomply with all other requirements of a le~al rosident of thk State.
I FURTHER CERTIFY that 1 have no intention fo retum to my former domiclle, and 1 interx! to remain in FORT
; PIERCE, SAINT LUCIE COUNTY, FLORIDA, pe~manently.
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t
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ar es . e mer
3008 Overbrook Drive
Ft. rierce~, ~~iorida
Swan ro±~nd;Ml~.strtb~d b~fore me this 6th day ot J~ , 19 68
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i ~ ~orritns
; Not.ry R,bIK
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; 81? r ~ D.~. ~ My ~ommistbn txpihs
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