HomeMy WebLinkAbout2272 Declaration ot Domicile and Cittzenship ~8526
TO THE ~TATE AND COUNTY TAX ASSE~SOR,
51. lUC1E ~OUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in accordante and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal residenr of ________~~hen.s Geor$ia
(City) (State) _
Nowhere Road
and I resided at However 1 have changed my domicjle
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since Ju~C. 1'~_ day of
, 19
68__, and I reside at Holiday Beach Motel ~ 7~n ~pAwA~~iYg
(Street a~d Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this s~atement is to be taken as my declarat+on of citizenship, actual lega! residence and domicile in the State of Horida.
(Insert here any pertinent facis, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family tp new domicile, purchase of home, etc.) ~
Children entering shcool
RIlEO AND FiECORBED!
ST. ~UCIE COUNTY. Fl.A.=
P. ,.r.1C. O
R~~~~ ~ ~ .
'68 JtlL I 8 AM 8: S 8
ao~~R po~TR~s
CLERK CIRCUIT COURT
I FURTHER CERTlFY that I will camply with all other requiremenis ot a legal resident of this Siate.
1 FURTHER CERTIFY that 1 have no intention to return to my former domiGte, and t intend to remain in FORT
PlERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. '
~
Name) Joseph Howard Col~ille
' ~ (Address) Holiday Beach Motel
i i~ ' .
: i J; •
•Swor~'t~snd subscribed before me this 18th day of July ~9 68
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?Ht, P,OIT~11S
•.,~~CtB~U1T COURT Notary Public
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f~~ v ~ . .
~Y O.C. My Commission expires
.
(To b~ ~xecut~d in duplicats and originsl filed with Clerlc Circuit Court, and duplicat~ with Tsx Assessor.)
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