HomeMy WebLinkAbout1007 O~la~atlo~ ot Domicile a~d Citisenship 1`~'~j c~
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. IUCIE GOUNTY, FLORIDA:
This is my declaration of Oomicile and Citizenship in the State of Florida that 1 am filin9 this day in sooo~dance and
in aonformity with Chapte~ 222, Saction 222.17, Florida Statutes.
I was formerly a leqal resident of Detroit MiChigall
(~ity) (State)
16534 Lesure Street ~
and 1 rosided at . Howevar I have changed my domici~e
(Street and Numbe~)
f
ro and am and have been a bona fide resident of the State of Florida since December. 5 day of
South Menor Avenue
, 19 68 , and 1 reside at
(Street and Number)
1'ORT rl~, SAINT LtlCIE COUNTY, ftORtDA
and this statement is to be taken as my declaration of citizenship, actual legal residenoe a~d domicile in the State of Horida.
pnsert here any pertinent facls, such as sale of property or busineu, or relinquishment of employment
st former domicile, removal of family to ~ew domicile, purchase of home, etc.)
RIlEO ~AND RECOR~~O~
for homestead purpoBes gT. LUCIE COUNTY• F~?•
REC.L'73SR90 ~
'69 JAH I s~M I I: 0 I
! .OGE 1TRA~
' CLERK CUIT COURT=
~
~
f
~ '
~ ~
~
1 RJI~HER CHtTlFY that 1 will oompiy with all other requiremenri of a le~al resident of this State.
1 FURTHER CERTIFY that I have no intention to return to my former domicjle, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
~ .
_ ~ (Name) C. F. Fair
J. -
~ - , . ' , • '-;j ~
_ " . , ` p~ -
~ . I, ~ t ~ ~^~+t@SS~ -
% f:' , ;
` ' 16th January . 19 69 ~
,Sq~ror~'~o ~r~ wbsuibsd before me this day of , .
~
~ ~ f
CtiRK CIRGNT COURT Notary Public
8y 'C D.C. My Commission expires
a. r. .oo.al~ M~iC.~. .wi f~i ,~,iN~ a.~iC c~ak c.w+. .pa a~puul. Tax A».«..a
175 ~100~ ~
. _ . . .
.:V. _
_ ,p~°~.-~~%~=.~ . _ _ _ .