HomeMy WebLinkAbout0794 o~cluation ot Domicll~ and Citiz~nshiP 'l'7186'7
TO THE STATE AND COUNTY TAX ASSESSOR,
ST. LUCIE COUNIY, RORIDA:
Thi: is my declaration of Domicile a~d Citisenship in th~ Staro of Florida that 1 am filin~ thi: day in aooordanos and
in aonformity with Chapter 222. Section 242.17, Florida Statut~s.
~ W.: fo~ms~~y a ~ege~ ros~denr of Roelyn Heiahta Bew YorY
Kity~ (Sta1r)
and i re~wsd at 31 High Street . How.v.r i have d„n~sd my domtdi.
(Stro~t and Numbar)
ro and am and have been a bona fide rosident of the State of Florida slnoe go 2~ ~Y ~
,~9 68 , and 1 roside at 195 Celestia Cou~ct
(Street snd Number)
ro~ ~ec~. s~arr urc~ cow~mr, aoRww
and this statement is ro be taken as my dedaration of dtizenship, actual legal residenos and domicile in fhe State of Horida.
pnsert here any pertinent fads, such as sale of property or business, or rolinquishment of er»ployment
at former domicile, renwval of family to new domicile, purchass of home, etc.)
Purchaeed home in St. ~ _
Lncie Connty - filing for homeetead a,
ezemption ~ °D -
z
~o ` ~cresv
A ~1R Z
ai ~ t~ ~ A C~
Co ~ ~~Ct~~'f.
-1-1 ~"i ~ ~A
nD Q ~ -e~~0
G N • • ~ ~ -n~
A1
~ ~ ~O
~
~
I FURTl~ER CfRTIFY that 1 will comply with all ott~ nqutrom~nts of a lpal resida~t of fhis State.
I FURTHER CERTIFY that I have no intention to retum ro my former domicile, snd i intend to ~emain in FORT
PIERCE, SAINT UKIE COUMY, FLORIDA, permansntly.
?
Fred . od
~
e ne . o0
(~ddres:)
, Fovesber 68
Swom•~o•.na:;y,bsuibed before nn. thi: 4th ~y ~ tq .
• , " •
~J;
- ~hD11'RAi. ~
= _AMK ~NT Notary Publk
~ _ " ~ ~ D C. My Gommissio~+ ~xpiha
, - ~
.
~ ~ ~
lTi M'iilraiN~ i~ ~!le.~. a~i «i~Mal flMi wilb CIMk Crr~i~ Gw~. .~i ~iieN~ wiN~ Taoc Aw.wrJ
~ ~ ~i~'4 ~ 79'1
~ ~ - -