HomeMy WebLinkAbout2754 ~eclaration ot Domicii• a~d Citi:~~ship ,'i'~30`7~'
TO THE STATE AND COUNTY TAX ASSESSOR,
51. LUCIE GOUNTY, FLORIDA:
This is my declaration of Oomicile and Citizenship ln the State of Floride that 1 am filinq this day in aooo~danos and
in oonformity with Chapte~ 222, Section 222.17, Florida Statute:.
I was formerly a legal resident of W~rBRN SPRING IIL.
(Cty) (Sta») ~
I
4609 Woodland Ave.
and 1 msided at . However 1 have chsrped my domidle
(Street and Number)
ro end am and have been a bo~a fide resident of the Stste of Florida ainoe 9th ~y
August 68 2~5 Hoily wve.
, 19 , and I reside at
(Street and Number)
~o~r neecE, s~t ~uci~ couNn, aowow
and this statement ia to be taken as my declaration of citizenship, actual legal residence and d~midle in the State of Florida.
(Insert here any pe~tinent facts, such as sale of property or business, or relinquiahment of employme~t
st tormer domicile, removal of family to new domicile, purchase of home, etc.) ~
FILING Fait HOMBSTBAD PURPOSES _
FILED AND RECORDED ~
ST.~E
~oRn VF~TFiEOLA~
1~30~~.
'68 DEC I 9 AM 9~'~9
~
~o,~+~ oiTaas
; CLERK CIRCUIT COURT~
.
I
~
~
1 FURTHER ~ERTIFY that i w111 aomply with al) other requiremsnts of s Ispal ~~ide~t of this State. ~
~
1 FURTHER CERTIFY that 1 have no intention to retum to my former domicjle, and I intend to remain in FORT ~
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~
. t
~ ~ ~ . {
. ````.~~,,,~~~:,?,;;,r .
: ~ . - . ~ J~''• ~ AV . (Na"'e) NG
. _ . ;a " '
~f _ ~ t~~; _ : (Address)
~ MARIS A. READING
•
; ; _
' : . ~
,Sv;iQr '~0~{~1~subsuibed before me thi: 19th day of DBCBMBER , 19 68
; :'`.f ~ ~ ~
`'~iliiuln?,ti~~~'' ' . . !
RO~It`~ . '
IR COURT ~ Notary Public ~
~
8y D.C. My Commiuion expires
(To b~ ~aNad in duplicah aed ai~inal Al~d wiTh ClMrlc Cir~N Court, and duplkN~ with Tax A~awr.)
~
~
~ » aooK4?4 ~~E2'l48 '
{~,~_F ___~_~..,_n_