HomeMy WebLinkAbout0874 Declar~tion of Oomi~il~ and Citi=enship i,~,~g~
TO THE STATE AND CWNTY TAX ASSESSOR,
51. LUGIE COUNTY, FLORIDA:
This i: my declsration of pomicile a~d Citizenship i~ the State of Flo~ida that I am filin~ this day in aooordanos end
in confo?mily with Chapter 222. Section 222.17, Florida Statutes.
Bellflower
1 was formerly a leyal rosident of C811t.
(City) (Stat~)
9037 Heggel Street
and I rosided at . However I have charpsd my domidle
(SNeet a~d Number)
ro and am a~d have been a bona fide resident of the State of Fiorida sinoe $0~• 6 day ~
,~9 6S , and i r~ide a~ 2908 Sylvan Terrace
(Street and Numbsr)
fORT ~I~C~, S~AlNT lUC{E COUNTY. RORIDA
and this statement is to be taken as my declaration of citiunship, actual legai re:idenoe and domicile in the State of Horida.
pnsert here any ~pertinent facts, such as sale of propery or busineu, or ~elinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
8ntering Steven A, Cooke in pnblic echool
_ F~LEO AND R~~qRO~p.
ST, 1,~C1E CO NTY~ ~~q,
RECORp VERfF1E0
~ 1'7i~2~3
~
I 68 NOy i A~1 0: s0
~
R~ ER ?'OITRAS
~LERK CIRCUIT ~OURT~ .
i RIRTHER GHtTIFY that I wili oomply with al) other requiremsnft of a lepal rosidsnt of this Stats.
1 FURTHER CERTIFY that I have no intention to retum to my former domicjle, and i intend to remai~ in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
? ~ ,S ~
Yilton S. Cooke
(Address)
Sworn ro and subscribad bafore me this 6th day afAovedber 1968
~ ~
ROQER -iOf~~AS ~ ~ . :
CLE~K,"WR~1MT` ~ o Notary Public
. a~ -
gy D.C. My Gommiuion expi~s
•s'",,~~
Qi M~ooreM~ i~ . . a~d ~ioiw~l f~i wMl~ CIKk CMc~if Gw~. s~d d~saM wilM Tavc A~er.)
o R 174 r~~E 87~.
BOOK
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