HomeMy WebLinkAbout1709 I
Declaratio~ ot Domicile and Citizenship ~-68443 ~
TO TNE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FLORIDA:
~ This is my decla~ation of Domicile and Citizenship i~ the State of Florida that 1 am filing this day in accordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of Somers Point New Je~sey _
~C~ty~ (Stste)
and 1 resided at _ 924 Bay AVeriLie _~„1eV~ ~ have changed my domiu~e
_ . (Street and Number)
to and am and have been a bona fide resident of the State of Florida since 20th__ day of ~
i
~
Qctob~c , 19-63, and I reside at 3722 IrOqLiolS Ave __J
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
(Insert here any pertinent fads, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new ~'~micile, purchase of home, etc.)
Establish residence in Florida
!'1LEQ-ANO RECORDED7
5T. LUCIE COUNTY. FLA."
RFCQRC V~RIFIEp
~ ~ 1~8443
~
' '68 JU 3 IW 1: 3 3
~ ~
E
~ OGER P017 $
~ C1.ERK CIRCUIT COURT:
~ -
1 FURTHER CERTIFY that 1 will comply with all other requirements of a legal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently_
?
(Name) John I,eland
~ 3722 Iroquois Ave ~
w
~ (Address) ~
~ i
~ 68
Sworn to and subscribed before me this 3rd day of `Tuly , 19 ~
,
. RbGER fOiTRAS ~
s
~~.~CL~itK Ci~CU1T; C UR , Notary Public
gy~~' D.C. My Commission expires
" ' .
~
i
/~Ta bs ex~uti~d- in dupliut~ and orig+nsl filsd with Clerlc Grwit Court, sed duplicat~ with Tax Ass~ssor.) ~
~ ~
~ ~ . s~i7z :~17~
~:n 13 ~
~"'i`~`` -`a„7,~t, >;,v,=.~' a= . _ . _ . -
1
_ ~