HomeMy WebLinkAbout0980 Declaration ot Don~icile and Citisenship E
1'738`7S ~
TO THE STATE AND COUNTY TAX ASSESSOR.
51. LUCIE. COUNTY, FIORIDA: ~
i
This is my declaration of Oomicile and C9tiZenship i~ the State of Florida that I am filing this day in aaordanoe ~nd '
4
in ao~fotmity with Chapter 222, Ssction 222.17, Florida Statutes.
I was formerly a legal resident of F0130ID p e~• ~
(Ciy) (Staro)
and I rosided at 915 llth AveYlue
. However I have changed my domicjle
(Street and Number)
ro and am and have been a bw~a fide resident of the State of Florida since ALiK118t 15 day of
, i9 68, and i reside at 3235 Lennard Street
(Street a~d Number)
fORT M~CE, SAINT lUC1E COUNTY, F~ORIDA
and this statement is to be taken as my declsration of citizenship, actual legal residence and domicile in the State of Florida. i
i
pnsert here any pe~tinent facts, such as sale of property or business, or relinquishment of employment ~
at former domicile, removal of family to new domicile, purchase of home, etc.) ;
I
1
For homestead purposes _ ,
~
~ , .
. , J
_ ,
i
FIlEO ANp RECARD~p' ~
sT~~CC1E COUNTY; ~~,q, ~
~
~~~`~SEO ~
~9 JAN 1 S P~ 2. ~
~
r
s~~ ~s i
~ ROGE~AS
CLERK CIRCUIT COURT` ~
~
I FURTHER CHtTIFY that 1 will aomply witfi all other requirements of s le~al resident of this State.
1 FURTHER CERTIFY that I have no intention to retum to my former domicjle, a~d I intend to remain in FORT
PIERCE, SAINT LUCIE COUWTIf, FLORIDA, permanently.
~ ~
? ~i ~
~ ~ ~ ~ (Na ) Violet J. Baldwin
: ;
~ J . : - , ' ; - . (Address)
. _ . '
_"Sv~orri tb ~nd iubsuibed before me this 15th day of Jenuary , 19 64.
ROO~ ~011'RAf
CL~RK C~WR CpNRT Notary Public
_ _
gy O.C. My Commission expires s
s
tT~ M~oaw1~ M~iieal~ aw~ a~i~iw~t fil~i wMl~ Clwlc Ckaik Cow~, and d~pKcat~ witi~ Ta~c A~~J
e«~K175 ~;E ~77
~ . - - _ .
z~.~~-~~~~~ = f~.r~y