HomeMy WebLinkAbout1465 Decla~ation ot Domicile and Citiz~nship 1 i~~
TO THE STATE AND COUNTY TAX ASSESSOR,
ST. WCIE COUNTY, FtORIDA:
This is rrir declaration of Domicile and Gitizenship in 1he State of Florida that I am filiny this day in aooordance and
in conformiy with Chapter 222. Ssctio~ 222.17. Florida Statutes.
I was formerty a leyal resident of GettySbl~B peIIl~ •
. (Ciy) (Staro)
R. D. 6
and 1 rosided at . However 1 have charqsd my domidle .
(Street and Number) ~
to and am a~d have been a bona fide resident of the State of Florida sinoe Sept. 16 day of
, 19 68 , a~ i~~~ ~ 608 So. 22nd Street
(Stroet and Number) -
I~ORT r1~CE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actusl legal residenoe and domidle in the State of Horida.
(Insert here any pertinent facts, such as sale of property or business, or ~elinquishment of employment
st fomner domicile, removal of family to new domicile, purchase of home, etc.)
Placing children in pnblic School -~anet Rnth and
Robert David
FILED AND RECORDED
~ ST. LUCIE COUNtY. FLA.
rlr_1~~~~~~tED
r7
;
; '68 NQ~I Z Q A~I 3: 7
~
;
~ f?~3~' OtTRAS
CLERK CIRCUIT COURT
~
i
1 H1RT~i~.R CfRTIFY thst 1 will aomply with all other requiremenfs of a le~al resident of this State. `
1 FURTHER CERTIFY that i have no intention to retum to my former domitile, and I intend to remain in FORT
PIERCE, SAIT~ WCtE COUWTIf, FLORIDA, permanently.
~ , . V ~ 4~-~t~ ;
~ ' ' . . , (Name) e eII . 00
~ - -
, - . -
- - ' . ' . ` (~d~@SS)
_ -
, ~ 20th Aovember 68 '
Svi~b,tmfo and wbsuibed before me this day of , 19 •
RQOER ~OITRAS
GRCUR COURT Notary Public
By D.C. My Commiuion expires ~
i
i
Ro b~ ~uaM~d ie duplk,aN and ai~iaal fil~d wMi~ Cl~ek qra~i! Couet, aed duplkst~ with Tax Aa~wor.)
~ ~oac~,~~ r~~~b~
~ . . _
~ _ . -