HomeMy WebLinkAbout1607 . ~ ~
O~cla~ation ot Oon~icil~ a~d C!tls~nship -1~~~2 ?
TO THE STATE AND GOt1NTY TAX ASSESSOR, I
51. LtJCIE COUNTY, FLORIDA: ~
This js my dmclaration of Oomicile and CitiZenship in the State of Florida thst 1 am filin~ this day In aooordanq ~nd
in oonfotmiy with Ghapter ?22. Sattio~ 222.1~, Florida Statutes.
1 was formerly a leqai resider~t of ssa Lakeside Californis
(~ifY~ l'Stat~)
snd I rosid~d at 113?6 Mallzanita Ro~d ~~~~r~sd my domi~~e
(Sttaet and Numbe~)
ro ard am and have been e bona fide residant of the Stete of Florida sinoe November 1 ~y ~
19 68 , ar~d 1 roside at ~OUte 2, Box 10~? B
(Street and Numbaf)
FORT ~1~, SAINT LUCfE COUNTY, fLORiOA
and this statement is to be taken as my deciaration of citlzenship, ectual legal residenoe and domicife in the State of Florida.
pnsert here any pertinent facts, such aa sate of property or busineu, or rolinqulshment of employment
at former domicile, romoval of family b ~ew domicile, purchase of home, etc.)
Placing Children in pnblic schools
David Alan - age 17 . ~
patsicia Diane - age 15 ~ m ~
John William, Jr. - age 13 m~ a ~r-~'.
James Daniei - A$!? Z2 ~ 'g ^'r~
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1 RIRTHER CERTIFY fh~t I will oomply wtth all other roquiromernb of a lepai rosident of this Stata.
i fURTHHt CERTf~Y that I heve no intention to return to my former domi~,ile, and 1 intend to remain in FORT
i'1ERCE, 5~1NT; ltJf1E COUNTY, FLORIDA, permsnently.
,<~'f:?. ' .
Z~` . ~..t'... , .
- (Name) 1?lrs. JohA . Shortridge
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. 't , . . ~ . Ulddross)
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2f th y Novevber 19 68 ~
~,~5wrq~rn lo~~nd iubacribsd before m~ thk da of ;
;
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ROOiR ~OITRAS [
~ C1~K CRCINT OOtI~~ Notanr Public =
~'f? O G. My Commission ~xpir~s ;
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Qi w~aaaiN~ iw i~itea~l~ a~ ~ tiM~i wiii~ Ct~et GraiN C~wr~ a~i ~IiaN wi* Tac A~w?,~
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