HomeMy WebLinkAbout2325 D~cla~atio~ ot Qomicil• a~d Citl~~~ship ;~~",Zg(~?7
TO THE STATE AN~ COUNTY TAX A.SSESSOR, ~
Sl, ll1CIE GOUNTY, FlOfi::4:
This is my deciantion of Oomicils and Citi~anship in the Stst~ of Horida that I am fili~p this day in aaoordano~ ~nd
in oo~formity with Chapter 222, Settion Z22.17, Florida Statutes.
1 was formerly a le~al rosident of BRIDGBPORT W. VA.
(City) (Stah)
103 veneva St.
and 1 rosided at . However I have char~d my domWlt
(Sfreet and Number)
to and am and have baen a bona fide msident of the Staro of florida sinoe llth Oct _ _ day of
OctQber 68 309 Basy St.
, 19 , and 1 reside at
(Straet and Number)
~ naec~. s~ ~uuE couat~r, aoRmw
and this statement is to be taken as my deciaration of citizenship, actual legal residenoe a~d domicile in the State af Horida.
qnsert here any pertinant facts, such a: sale of property or business, or mlinguishment of empioyment
at forme~ domicile, removal of family to new domicile, pu~chase of home, etc.)
FILING FOR HOMSSTBAD PURPOSBS
FILED ANO RECORDEO
~ ST. LUCIE COUNT~Y. ~LA•
. R~ COR~
i~~~,}~
w~
,
'68 OEC ~ ~ ' y 9
~
~ R POITRAS
CLE K CIRCUIT COURT-
I FURTHER G~RTIFY that I will oomply with all other roquirecns~n of a lepal residsM of th~ State.
I FURTHER CERTIFY that I have no intention to retum to my former domic~le, and t intend to remain in FORT
PIERCE, SAINT LUCIE GOUNTY, FLORIDA, permanently.
- .
• - . ~Y/~;~ ~ 04~~
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;,t~u:~•.. . Ma~)
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~ ~ZB WBI,DON C. DAVIS
' ' _ I . ~?1? i e _ ~Y1 ~n t
• • _ 'd'• j} ~ (101ddfQtf)
= - r'; - TBSSIB M. DAVIS
:
~.1~,~ .J``ly.~.-3 : . . ~
~ lOth December
'-3vao ~•f~ot~it~scri'_~d before me this day of , 191i$.
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NtC COURT Notary Public
~ ~
By D.C. My Commission expires
- (Te b~ iw duplkM~ and o~ioinal fiMd wMh Cl~el~c CiKUit Cou~, and dvplkaN with Taoc Ax~~o~.1
- „ dooK1~4 ~~~23~0 ~