HomeMy WebLinkAbout0828 O~laration ot Domicil~ and Citisenship -1'~1892
TO THE STATE AND COUNTY TAX ASSESSOR,
51. lUC1E COUNTY, FIORIDA:
Thi: ii my decla~ation of Oomicile and Ctisenship in the Stats of Florida that 1 am filin~ thi: day in aooorda~a e~d
in oonformity with Chapter 222, Settion 222.17, Flaida St~tutes.
~ wa~: formerly a ~ege~ msident of Buf f al o_ Aew York
' (City) (St~»)
201 Hamburg Street ~ ~ ~~~e
snd 1 residsd at
(Strs~t and Number)
ro and am and have baen a bona fide resident of the State of Florida sinoe OCtObOr 15 ~y ~
,~q6g , and ~ res~de at 2731 Fairway Driva
(Street and Number)
WRT MERC~, S~AINT lUC1E COUNTY, RORIDA
and this statemsnt is to be taken as my declaration of citizenship, attusl legai ~esider~oe and domitile in the State of Horid~.
qnsen hero sny pertiner~t facts, such as sale of property or business, or relinquiahment of employment
st formar domicile, removal of family to new domicile, purchase of home, etc.)
-Moved to F~.orida and pnrcha8ed home
Placing children in echool:
~ Mark, l~ichel, Joeeph, Ann,
Jane, ffiargaret & l[ery.
FtLEO ANO R C~K
0 D'
ST. LUCIE COU~TYEp~•
R E~Q~~~~
.r
~ '68 N~Ii S : 3 s
~ ~
~
~ ER POIT
CIERK CIRCUIT OURT~
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I RJitTHER CERTIFY that 1 wili oomply with all otl~ nquirenwnts of a le~al resident of this State. ~
1 FURTHER CERTIFY that 1 have ra intention to retum to my former domicjle, and i intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
e -
~ oye ue . u ec
(,Address)
~n ~ 5th ~Y ~ lfovember 68
~bstribsd b~fore me this , 19
;~:~~l:tj~.
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EL~K.,ClRCNIT Notary Pubik
e~? ~ D.C. My co~,~,iu~«+ .x~~
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a. iii~ •~~S.» .~wi .~i~iMl AI~ arilb a«k cMaiil c~. .wd ~iical~ a?iN~ Taoc A.......a .
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