HomeMy WebLinkAbout0710 D~cla~atio~ ot Don~icil~ and Citis~nship
- 1'73?~i6:~
TO THE STATE AND COUNTY TAX /1SSESSOR,
51. LUCIE COUNTY, KORIDA:
This is my declantion of Oomicile and Citizenship I~ th~ State ot Florid~ that 1 am filinp this day in aooordano~ end
in aontormily with Chapt~r Z22. Section 222.17, Florids Statutes.
~ was i~msrly a Ipal resid~nt of Dansville Michigan
tCih) l5tab)
•nd ~ roswsd at 1093 Jackson Street ~~w~
nq~d my domic3N
(Strset and Numb~r)
ro and am •nd have been a bona fids rosident of the State of Horida sinae NOV. 22 ~y ~
, 19 69 , a~ ~ 1312 Indiana Avenue
, (Strest and Numbsr)
PORT N~CE, SAINT ltlClE COUNTY, RORiDA
snd this statbment is b be taken as nry deda~ation of citizenship, actusl legal residenou and domicile in ths State of Horid~.
pnsert hem any pertinent fads, such as sale of property or business, or relinqui~ment of employment
at former domicile, rernoval of family to ~ew domkile, purchsse of home, ~tc.)
Establishing residencq for homestead exemptioa
FIIED AND RECORR~A: _
ST. IUCIE COUN'~. _
RECO1~
E~~ .
•s9 ~aH 9 ~
~~g
y~
R POtTRAS
CLER CIRCUIT COUR7i
i
~
i FURTHER GtRTIFY tfiat t will aomply wNfi all otF~ requirort~t= of • fpal resideM of thb State.
1 FURTHER ~QTIFY thst 1 have no intention to retum to my former domiGle, ar~ 1 intend to remain in FORT
•~s:ir::
1 ~E CQl1NTY, FLORIDA, permanently.
PIERC~.~iQ1 t,~~
C.
; .:;'`~~.1;`i ; ,
v f r
J ' l
' . f., ._y - .
' ~:r` Dewey raft, Sr.
' , _
, : v ti_ .
_
~ ~ _ .
.
~C :::CO,`~,
~ Gqddress)
'•i.....~ ~ Nl~~'.~,+
. .i`e J .
S~warn ~o and wbsa~ibed befofe me this 9th day of JanuaZy ~ ~q 69 ,
RO~iER ~OITRAS
CLERK C~WIT COYRT Notsry Pubik
8y D.C. My Gommission expires
(Ti b~ ~oacnl~d ia d~ sad ai~l Rl~d wieb Cl~eic Ciea~! Caret, aed dup~a~N wUM Tax As~o~a
„ ~175 ~ :7p8
_ ~ ~
.z ~