HomeMy WebLinkAbout2727 l7~~~
Declaration ot Don~icile and Cittse~ship
TO THE STATE AND COUNTY TAX ASSESSOR,
ST. LUCIE COUNTY, FIORIDA: ~
~
!
This is my declaration of Oomicile snd ~itizenship in the State of florida that I am filing this day in aco~rdante and t
in conformity with Chapte~ 222, Section 222.17, Flo~ida Statutes. ~
~
I was fo~merly a legal ~esident of Doaora Penn. ;
~
(City) (StaM) ~
6 Sunset Drive,~~ Manor
and 1 rosidsd at _ . However 1 have chsnged my domivle ~
(Street and Number) _
b and am a~d have been s bona fide ~esident of tha State of Florida since September 16 day of
, 19 6S , and 1 reside at 107 SOYI@t8 C OLiTt
(Street snd Number)
I~ORT r1~CE, SAINT LUCIE GOUNTY, RORIDA Port S t. I,uc i e
and this statement is to be taken as my declaration of citizenship, actual legal residenoe and domicile in the State of Hor~da.
(Insert here any pertine~t facts, such as sale of propery or business, or relinquishment of employment
at former domicile, removal of family to new domiciie, purchase of home, etc.)
Filing for homestead eaemption
~
~
ao
. r 0 ~-~j '!1
, ~ ~ ~ n ..-~n r m
x~ ~~b
, ~F+ ~m Z
. _ -
A ~ ~ ~AO
c~ ~ ~ mC~
~ ~ ; O ~?A
, C r ~.r~Jl -.:.n ~ o
cn m. ~u
l ~rm
~ - w n~
1 RJRTHER G~RTIFY that I will oomply with all other requirements of s Ispat reaident of this State.
1 FURTHER CERTIFY that 1 have no intention to retum to my former domi4le, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
` -
Name) George Scott
F ~ .i ~e
~ . =
~ . ' ! . . ( dress) ~
~ ' ~ ~ - 17th December b8
~ Sworn ro ar~'scibsuibed before me this day of , 19 . i
~ , . • • - ~
J ~ _ . t
: ~
.~:ROG~R POITRAS
Q~.,GIRCWT URT Notary Public
/
8y ~ D.C. My Commission expires
(Te b~ ~x~cui~d in dvptical~ aed ori~inal fil~d wHh CINIc Circuh Courf, and dupliuh with Tax Ass~or.)
a~R174 ~27~'1