HomeMy WebLinkAbout2263 Declaratlo~ oi Domtclt~ and Citiz~nship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FLORIDA:
This ts my decle~ation of Oomicile and Gitiza~.ship in tM State of Floride that 1 am filinq this day in aooordano~ end
i~ aor~formity with Chapror 222, Section 222.17, Horida Statutes.
I wss formerly a legal rosident of Chicago Illinois
(City) (Stat~)
end 1~ided at 191R W Diversey Ave. ~ h~~e ~„n~sd rr,y do,nidle
(Sneet and Numbsr)
ro snd sm a~d have been a bona fide resident of the State of Florida sinoe lOth ~y ~
October , t9~, and ~ reside ar 761 Lomas Street
(Street and Number)
FORT M~CE, SAINT lUC1E COUNTY, RORIOA
and this statement is to be taken as my declaratan of citizenship, actual legal residence and domiale in fhe State of Horida.
pnsen here any pertinent facts, such aa sale vf property or business, or relinquishment of employment ~
at former domicile, removal of family to new domicile, purchase of home, etc.) ~
;
Bstablishing residence
.
E
f
fILED AND REC4R ~
BA:
ST. I.UCIE COUNYYEO
RE
'68 OEC 9 ~ ' ~
s~
R R PO{TRAS !
~ CLE CIRCUI7 COURT;
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I RJRTHER G~RTIFY ffiat i wlll oomply with all other rsquirements of s lepal r~ide~t of this State.
i
i FURTHER CERTIFY that I have no intention to retum to my former domiGle, and I intend to remain in FORT ~
PIERCE, SAINT LUCIE COUNTY, FIORIDA, permanently. , {
i
` ~ r
~ ` , - ' i
. ~ (Name) ~
. - Jack Reitinger
~ -
. i' _ , ~V
' (Address)
~ ' :
~C•......••.~
; : ti~,
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Sworti'fo~and subscribed before me this 9tb day of December ~ ~q 68 ,
~
i
ROG~ rOtTRAS '
CIRCUR COURT Notary Public
ok-c CXi ~G'~%C~!-('~C/ ~
8y D.C. My Commiuion expires
(Te b~ ~x~cu1«! in dupilcat~ and ori~inal Ai~d wifh Cl~lc Cke~rh Couh, and duplicab whh Tax As~or.)
g~~.74 ~?.~58
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