HomeMy WebLinkAbout0592 1735~3
O~cla~ation ot Don~icil~ and Citis~nship
• R
TO THE STATE AN~ COUNTY TAX I?SSESSOR,
St. IUCIE COUNTY, fIORIDA:
This is my decla~aYwn of Oomicile a~d Ctiu~ship in ths State of Florida that I ~m fllin~ this day in aooordana ~nd
in oonformity with Chepter 222, Ssction 222.17, Flarida Statutes.
I was formsrly a Ipal rosident of Gassawav weSt v~~~
(Ciy) (Sts»)
snd i rosided at Route 4 South Howsver 1 have cha~qsd my domWk
(Sheet and Number)
ro and am and have been a bona fide reiidsnt of t~e State of Florida sinoe 23d day of
April , tq68 , and 1 roside at ~~umbered lot at the coraer of CaFri
(Street and Number)
and Estaugb Street
~ORT N~CR, SAINT ltlCiE CO~INTY, RORnA
and this statement is ro be taken as my dsclantion of citizenship, actval Isyal res'~denos and domiale in the Stats of Horids.
pnssrt hero any pertinent facts, sucl~ a: sale of property or bu:iness, or rolinquishment of employment
at former domicile;`"removal of family io new domicile, purchase of horr~e, etc.)
It is my declared inteation to build on this plot of land aad to eituate my family
and myaelf there. I am preseatly serving in the Armed Forces of the United States.
~
f~1~.E0 AND aECOR
F`A.
g'F. LUCIE COUNI'Y.
r(~~~ ~1.~ RIFiE[)
l~?3~~3
'69 JAN ~ PM 2 : 42
~
, ~ ~
~ R G~R ~P~~~AS
s CLERK ~IREIT~rt Cb
~
~
I FURTHER G~RTIFY that I wili aomply wHh ail otF~er roquiroments of s lepal rosidsM of this State.
I FURTHER CERTIFY that I have no intention b retum to my former domiGle, and I intend to remain in FORT
PtERCE, SAINT LUCIE GOUNTY, FLORIDA, permanently.
~ .
f~l!
(Mame)
FREDRICK W. DUCKWORTIi
~ SFC E-? U. S. Army R.A24425451 '
~ (qddress)
Sworn to and wbsuibed before me this 18th ~y _Dec _mb~r ,~9_j~$..
RO~iER rO1TRA5
~~T Charles S~O1~c~o~wan, Jr. CPT , JAGC
sy ~.c. ~y'~
u°~n ~
~8693
Re ti..~.a~a M a~.» .~a «~.i ~.a u..k c~ c~, .~a ~a~.~. T.x ~~....~a
~ ~ ' ~
_ ~ ~ > x
~ F : ~3,
~-~~~~s,*~.~ _ , _