HomeMy WebLinkAbout0488 Declaration ot Dorr~icile and Citizenship l~i~$O ~
E
TO THE STATE AND COUNTY TAX ASSESSOR,
Si. lUC1E COUNTY, FIORIDA:
*
This is my declaration of Domicile and Citizenship in the State of Florida that i am filin~ this day in aco~~dance and
in oonfo~mity with Chapter 222, Section 222.17, Florida Statutes.
.F
!i
~ i ent of ~eonta ~ab~a ~t
I was fotme~ly a legal es d
(City) (State) y}
_ ~i
-
and 1 resided at 420 Highschool Street . However 1 have changed my domiCile ~
(St~eet and Number) ~
a
~
to and am and have been a bona fide ~esident of the State of Florida since Julq 7 day of ~
~ 68 738~- Delaware Avenue k
_ , 19 , and 1 reside at
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FIORIDA .
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in ihe State of Florida.
(Insert here any pertinent fatts, such as sale of property or business, or relinquishme~t of employment ~
at former domicile, removal of family to new domicile, purchase of home, etc.) t
; Bntering child in school - Neva Newton _
.
FILED AND RECORDED ~
. ST.p
~co n OUa1~ ~O`A
16?965U
'68 AUG I S PM 2: 36
~ {iQrt_R i'0lTRNS ~
CI.ERK CIRCUI7 COUR7 ~
1 FURTHER CERTIFY that 1 will oomply with al) other requirements of a legal'resident of this State.
~ 1 FURTHER CERTIFY that I have no intention to retum to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
~ T
. ~ ~ • ' . ~
,,•,';``•}`ir~~~~ii Bdward Newton
~ (Name)
~r~~ •CD""~.`
S';~ ~r;~~ -G. ,
i.._ • . ~ . , c "
c y i,~~ ` ,t,~ ~s c c F` Wddtess)
- . . . Rl : ' :
~ ~ Au us t 68
='~,~.~••SNiorR~o~and subscribed befors me this ls day of g . 19 •
"'~.;~;~..~,C,~.;•'
= - ROGER POITRAS .
K CIRCUIt COURT Notary Public
gy ~ - gC. My Gommission ~xpires
~ ~
c~ ,
(Te b~ ~x~wt~d in dupliuh a~+d ori~inal fU~d witb Cltrk CtKUit Go~rt, and dupliui~ witt~ ?ax AsN:sora
++~1~ PACE