HomeMy WebLinkAbout0880 D~cla~ation ot Do~nicile a~d Citise~ship 1~3$Q~
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. U1CIE COUNTY, FLORIDA: '
This is my decla~ation of Oomicile and Citizenship in the State ~f Norida thst 1 am filiny this day in aooordanoe and
in aonfamity with Chaph~ 22Z, Saction 222.17, Horida Statutes.
1 was formerly a leqsl resident of Gastonia M. C.
Kiy) - (Stah)
and 1 rosided at Rt . 3 . However I have charpad my domkil~
(St~eet and Number)
ro and am and have been a bona fide resident of the Stste of florida sinoe Ju lq ~y
68 1502 Ponce De l.eon prado
~ , 19 , and 1 roside at
(Strset and Number)
I~ORT SAINT LUCIE COUt~ITY, RORIDA
and this statement is b be taken as my decla~ation of citizenship, actual legal residenoe and domicile in ihe State of Horida.
.
pnsert here any pertinant facts, such as sale of property or business, or ~elinquishment of empbyment
st forme? domicile, removal of family to new domicile, purchase of home, etc.)
for homestead purposes
FIIED ANO RECOROED ~
ST. LUCIE CDUNTY. Fl.A.
~~~RIFtEC
1`~380~
. . '69 J~N 13 P~l ~ :,0 0 ~
I~
~
~ R0~ R FOITRAS
~ CLER CiRCUlT COURT
F
1- RJRTHER CERTIFY that I will aomply with ell oti~sr requirements of a le~al residsnt of this State.
1 FURTHER CERTIFY that I have no intention to retum to my former domicrile, and I intend to remain in FORT
PIEitCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
~ J
- : (rvame) Jerrq Corneliua
- - f Barlowe
/ . ~c~C~7 ~i~. n s c.~.t o I~ pr u~C
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Sworn to and wbsuibed bsfors me this 13th ~y of January , ~q 69,
ROQER ~OITR/?t
CLiRK CIRCtNT Notary Publk ~
gY D.C. My Commissio~ ~xpir~s
~
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