HomeMy WebLinkAbout0473 D~aluatio~ ot Oomi~il~ and CitisMShip
TO THE STATE AND GOUNTY TAX ASSESSOR, I~~~
Sl. LUCIE ~OUNTY. HORIOA:
This Is my dsclar~tion of Domial~ and Citis~snship in th~ State of Florida that 1 sm filinq this day in aooordano~ and
in co~formity wjth ChaptK 222, Settion 222.17, Horid~ Statutts.
1 was formerly a Ipal nsldent of Rrnnlrv~ ~ j~ Illit~ois
(CitY) (St~t~)
~t ~749 Harrisnn Aven ue . HowwK 1 haw chs~p~d my domi~il~
(Stre~t and Number)
ro and arr? and have been a bona fids res'~dent of th~ Staro of Fiorkla sinoe 2?tti day oi
October ~q 68 , a~ ~ 2220 9 North 47th Street
(SheM snd Numbe~)
1°ORT M~, S~AtNT LtlC~ COUNTY, ROR~A
and t~is statbment is ro bs taken aa my dedaration of atizenship, actvai lepsl residenae and domicile in the State of Horida.
qnsert hero any pe~tinent facK, such as aale of propertr or bu:ine:s, or rolinqui~hment of employment
at formsr domicile, romoval of family to ~npw domiale, purcha~ of home, ftc.)
Sstablish Residency for Hoe~estead
11.E~ AN~ RE~CQR~E~
FLA:
. 5 . LV~~E COUNT`~~D
c i,73~~J
, ~A~~ ~r 10 • 35
69
rp,4~a~s t
~ ~aG ~RCUi~ G~UR y
~ CLERK ~ `
~
~ 1 FURTHER Cf~tTIFY that I wiil aomply with all o~ requirerr~b of a Ipal r~ldsnt of tfi~ State.
1 fURTHER CERTIFY that I have no intention to retum to my former domic3le, and 1 intend to remain in FORT
PIERCE, SAINT U1CIE COUIVTY, FLORIDA, permanently. .
~
~~~?~ivL ~
(Na!ne)
Arthur G. Timreck
e
"e
~ ~r~)
_
SMrorn to a~d.sdDa~tribe~ be~for~ me this 6th day ~ TaouarY , 19 69..
~ .
. v'- ' ' ,
G~ICCI~iI'r-COIIRT-.. ~ Notary Public
~ v_ .
By " ` D.C, My Commission expires
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