HomeMy WebLinkAbout1696 ~ 1~24n6
Decl~ration o! Don~icil• ~nd Citize~ship
TO THE STATE AND COUNTY TAX ASSESSOR,
51. lUC1E ~OUNTY, FLORI~A:
This i: my declaration of Domicile and Citizenship in the State of florida that I am fili~q this day in aoo~rdanoe end
in aonformity with Chapter 222, Ssction 222.17. Flaida Statutaa.
1 was formerly a leqal resident of P~ia~AOi e ~hi Q
(C~y) (Sta»)
and 1 rosided st ~~1,-S~.Ltth--~a~B~Ba~ . Howevsr 1 have cha~qed my domidle
(Street and Number)
to a~d am and have been a bona fide resident of the Ststs of Florida sinae ~ 8t -~Y ~
~.P e,~~.e,. ~9~, and i r~tde ar HoliBey Out - Fort Pierce, Florida
(Street snd Numbsr)
EpRT ~IQCE, SAINT LUCIE COUNTY, RORIDA
and this statament is to be taken as my declaration cf citizenship, actual legal residenoe and domidle in the State of Horida.
(Insert here any pertinent facts, such as ssle of property or busi~ets, or relinquishment of employment
at former domicile, removsl of family to new domicile, purchsse of home, etc.)
Entering Barbara Jo wanska in 6th grade of echool
FIl~O AN~ REC,~Y~~Lp,.
COVN
S?.RECO~~ VERI~~ED
06
~
.i'7`'~ ~ 9 :2~
'68 26 _
ROGr R~U T CD RT
_ - - _ C~RK CIR~
1 FURTHER GHtTIFY that I wlll oomply with sll other roquirements of a lepal residsnt of this Stste.
I FURTHER CERTIFY that 1 have no intention to retum to my former domi~le, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
(Neme) Ernest A. llan a
' (~4ddress)
- -
.,Y , t9 68
:r-~;.~`:,,•_-Swor~ fb~nd:ubscribed before me this ?6 dey of Ao~ember .
~ C~` . ~y• /y~,j~'``~~~ ~ r ~
~7Rw~
Notary Public
' ~ uERK rIkC~ITCOU
~
_ . D.C. My Gommission expires
` . ; , .
~ ( ~ Gc
~ .
~ Re b~ ~uaM~d M duplkah and ai~inal fil~d witb CM~Ic Ciraiit Cou~, and dupli~N~ wHh Tax A~wWOr.)
~
e~~ 1 ~'4 169~
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