HomeMy WebLinkAbout0608 Declaration ot Dornicile a~d Citisenshlp 'is~~
TO THE STATE AND COUNTY TAX ASSESSOR,
Si. IUCtE COUNTY, FIORIDA: ~
This is my declara`ion of Domicite a~d Ctizcnship in •thf Stst~ of Horida that 1 am filirp this d~y In iooordano~ and =
in cor?formity with Chapter 222, Settion 222.17, Florida Statutes. • _
1 was forme~ly a IeQal rosident of - LeQSbt~g ~ 4ir¢inia
(City) (State)
Rural ~
and 1 rasided at R01xte, Be800Y~ Hill Farm However 1 have chanfled my domicjle
(Shaet and Numberj
ro and am and have been a bona fide resident of the State of Florida sinoe - 15th day of
ALtg118t , 19 68, and I ~eside at d6d~ nranae AYB~LI~A
~ (5troet and Numberj
FaRT P~F.itCE, SAINT tUCIE CDUNTY, FlORIDA
artid this statement is to be taken as my declaratwn of citizenship, actual legal residenoe and domicile in the Stata of Fforida.
(I~?sert he~e any pertinent facts, such as sate of property or business, or relinquishment af amployment
at former domicile, removal of family to ~ew domicile, purchase of home, etc,)
~ Pnteriag Sammet#e I,ee ia the ?ourth Qrade -
ana sanar8 I,ynn in the Seoond (~rade of Sohool,
. 8na o~nay zou in ioth graa•.
FILED AND RECORDED ~
ST. L.UCtE C~UPJTY. FLA. '
~?f n~fir~ ~ti..-~!~ ~f r
~
16V•~U
'68 Q~1G Z 0~hl 3: 5 y
. J~.
~ o,~n:.s
CL~RK CIRCUIT COURT
1 FURTHER ~ERTIFY fhat 1 will comply with all other ~equirert~ents of a le~sl'resident of thi: State.
• I FURTHER CERTIFY that t have no iniention to rotum to my forme~ domicjle, and I intend to remain in FOR7
giERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
(Name)Sea H. Paylor
~ , ~r~~ -
Sworn.ta`.4~d-subscribed btfor~ ms this 2nt~._._._ day of ~t~o $t 19_b,$.
y
~ ~r '
.1tOG6R rOITRAS ~ ' ~
~ C1EItK GRCUIT t0`t1RT ~t~ry p~~~
DY D.C. My Commiuan ~xpins
(Te b~ ~x~svt+a iA dvplicN~ aed ~iw~i f~d wi~ Ct~k CM~aril Gw~, a~ dvplicN~ wiN~ Tax Asw~ora
. .:r. ~i73 600 .