HomeMy WebLinkAbout1711 Oeclaration ot Domicile and Citi:enshlp 1'~~416
TO THE STATE AND COUNTY TAX ASSESSOR, ~
S1. lUC1E COUNTY, FLORIDA:
This i: my declaration of Domicits and Citizenship in ths State of Florida that I am filinq this day in aooo~danos e~d
in oonformily with Chapter 222, Section 222.17, Florida Statutes.
Sta ten Island New York
1 was formeriy a legal ~esident of
(Ciy) (State)
and I rosided at 2 4 LOCUSt P1aCe ~~ve chan~sd my cbmidle
(Street and Number)
ro and am a~d have been a bo~s fide resident of the State of Florids since ~ 15th day of
68
N ovember , ~9 , and ~ roside at 380 Sandia Drive (Port St. Lucie
(Straet and Number)
I~ORT r1~CE, SAINT LUCIE COUNTY, ROR~A
and this statement is to be taken as my declaration of citizenship, actual legal reside~oe and domicile in ths Stste of Horida.
pnse~t here any pe~ti~ent facts, such as sale of property or business, or relinquishment of employment
at fomner domicile, removal of family to new domicile, purchsse of home, etc.)
.
Bstablishing residence
FILEO AND RECORD~O~
ST. GUCIE COUNtY~ LA.'
R~~
j
~~s °
'68 NO'Il 2~ AM 10 ~ S6
~ ~oce roiTRas
CLERK CIRCUIT COURT1
I FURTFIER G~RTIFY that I will oomply wifh all other rsqulrsrnants of a le~al resident of thi: State.
~ r
1 FURTHER CERTIFY that I have no intention to retum to my former domic~le, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
..::,t~~~.,.~..
` j ~ • `:l ~ i ~W6 ~~A-
~ -
~ ~ -
~ J . . _ . . i~:
_ (Wame)
_ ' ~ r Margaret H.Allen
- ~ . -
. . -
~ • - ' (Address)
•C~~~~GC•~,:
26th Novembe r
Swom to ~nd subscribed before me this day of ' 19 6 8 ' i
f
ROGER 'ORRAS ~
CIRCUR COURT Notary Public
D.C. My Commission expires !
gY i
Ro b~ ~x~aiNd te dupikat~ aed ori~inal fil~d wiH~ CM~Ic Grarif Cou~f, aed duplluta wilb Tax As~.) .
F „ a~174 ~i'~07