HomeMy WebLinkAbout1183 1'?bi54
D~cluati~n o! oomiai~~ and C1tis~nship .
TO THE STA~ M1D COUNTY TAX ASSESSOR,
Sl. UKIE COUNTY, FLORIDA:
This is my decluation of Oomicile and Citiztnship in th~ Staro of Hocida th~t 1 a~n Hlin~ this day in aooordano~ a~d
in conforn~ity with ChaptK ~22, S~ttion 22Z.17, Florrida Statu/~s.
i wa torm.r~y a ~.~t ros~de~+r of ~c~sven Penn.
KifY) (Statr)
snd 1 r+akl~d at R• D. rl ~ Bo]t 83 Fbw~vK 1 havE charp~d my dornie3l~
- (Stnst and Nurr~ber) ~ -
ro and am and have bs~n a bona fid~ ns'~dent of th~ St~ro of Fiorids sinoe ~y 10 d~y of
,~9 68 and I roside at 108 Lucero Dri vt -
(StnN and Nun~)
l~pRT MlRCR ~T U1C~ C~IUNTY. RO~IDA ~
and this statement is to be taken as my declaration of citi~snship, adual Ispsi ~~ideno~ and domki~e in ih~ State of florida.
Qn~t here any pertinent facn, sucfi as sale of property or business. or mlinqui:hmsnt of employmsnt
at fiorn+K danicile, ronwval of family to new domicik, purchase of horr~e, etc.)
, State of Fiorida Citizenship - Homestead eaemption
- Purchase of home, etc. ~
~ ~n ~~n
~ ~ cm .
~ n o
7G.~ I~ OA D
~>Tn ~ F~Z
. JC'1~
C`~ rn~~ ; .
;
; . -~i
k` 0 ~
I ' C`N ~'R
~ ~ v ~O
~
1 FURTMER CgtTiFY that i will oomply with ~II oltier roquinm~nt= of a Ip~l ~ident o~ fhb Stat~.
1 FURTHER C.ERTIFY thst i havs no intention to rotum to my former domitile, and i inte~d to romsin in FORY
PtE~iCE, 5I11NT LUCIE COt1N1Y, FLORIDA, permanently.
y rs~' { . „ ~ . . ~ _
. • ~
/ ,,`~Lll.iiiiii::• `
- i-. ms) George w. Rogera
~ . •v~'~ti
= j_
y"'~-~ • .G'~. Y
~ „ - ~
; _ Zell . Rogers
. . .
_ ;•.J,
? t~= wbscrib.d b.for~ nn~ this 4th ~~y ~ 3eptember 19 68.
, • .
t
~~~~"e'S T"'
V ~ ,~t
:•I~r~~~.~1\:~
~ ~
Ct~II ~'.{NT Nohry Pubik
8y ~ D.C. M~r Commts~on ~xpina
_ l~i 1~ ~..~i i~ ~Ik.~. a~ «yiw~i 111.i wid~ q.d~ ti+wM Cwrf. .~i ir~lia~. will~ Tat A«~«..J
1
~ a . ' ~ 1 `J FACf