HomeMy WebLinkAbout2526 Decla~atio~ ot Domtcile a~d Citi:enship -~~`~6
TO THE STATE AND COUNTY TAX ASSESSOR,
ST. LUCIE COUNTY, FLORIDA:
This is my declaration of Oomicile and Citizenship in ths State of Florida that I am filin~ this day in aooordanca and ~
in aor~formiy with Chapter 222, Sbction 242.17, Florida Statutes.
1 was form;srly a leyal ~esident of .~~'~o~b~g 8~br~~
~ (City) (Stah)
and 1 res+ded at 503 Ekeley st• , Flowevar 1 have charpsd my domiule `
(SNeet and Number)
ro and am and have been a bona fide resident of the Stste of Florida since " ~ 3th day of
~unA , 19~$_, and I reside at ? I~~.F~
(Street and Number)
1'ORT MERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declarotion of citizenship, actual legal residenos and domicile in the State of Horida.
(Insert here any pertinent facts, such a: sale of property or business, or relinquishment of emptoyment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Cha~nged place of employment i'rom the 3tromebur~ Implement Co.
Stromaburg, Nebr. to the Berggren Equipment Co. of Ft. Pierce~ ~
;
in June, 1968.
Ru~chaeed home on Ceeter~Pield Dr. from Kslly Iial.l on Jnne 13s1968
Children are enrolled in City Sohoola with one eon attending
Indian Biver Junior College• FILEO ANO RECORDED
ST. LUCIE COUNTY. FLA.
1?` C~R'~ `.'ERI~IEO
i~~-~s
I ~ '68 ~?EC 13 PM I: 13
~.J
R0~ ?OITRAS
CIERK CIRCUIT COURT
1 FURTHER ~HtTiFY that 1 wil) oomply with al) other requirements of a lepal reside~t of this Stat~+~`'~V+=~:"~'j~,,.
c~i. ~ ~
~
. ;i ~
. ~
1 FURTHER CERTIFY that I have no intention to retum to my fomner domicjle, and I intend3o~cemairi in FOR?~ .
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. - f~~,~ ~ i
I~~.% ~ p,J
{ ` G~
.~~U`
(Name) `1 J~ ~ ,i
2513 Chesterfield Drive
(Address)
Sworn to and subsuibed before me this day of ~ , 19 G~
Roo~ rorra?s v
CLERK CIRCUR COURT tary Public
i~attrr ?u~tic, State of Florida at larqa
8y D.C. . My Gommisaion expires '
w.a.e y A..~c.. fe. s c+s..h
~l
(Te b~ ~x~c~Nd in duplkat~ ~nd ori~inal fil~d wi~h Cl~elc CirwN Carrf, and duplkah wi~h Tax Ass~a~or.)
„ BoaKs?4 ~~E2521