HomeMy WebLinkAbout1361 Declaration ot Domicil~ and Citisenship
TO THE STATE AND ~OUNTY TAX ASSESSOR. ~,~l~~3~
Sj. LUCIE COUNTY, FIORIDA:
This is my decla~ation of ~omicile and Citizenship in the Stats of Florida that 1 am filing this day in aoo~rdanos and
in co~formity with Chapter 222, Section 222.17, Florida Statutea.
1 was formerly a(ega) resident of fiast00 Penn
_ (Cty) (State)
end i resided at _ 1030 KnOx Avenue . Flcwever 1 have chan9sd my domic~le
- (Street and Number)
to and am and have been a bona fide ~esident of the State of Florida since Augu3t day of
, t9 67 , and I reside at 206 East Arbor Avenue
(Street and Number)
FORT r1~tCE, SAlNT LUCIE COUNTY, RORIDA
a~d this statement is to be taken as my declaration of citizenship, actual legal reaidenoe and domiale in the S1ate of Horida.
(Insert here any pertinent fads, such as sale of property or busineu, or relinquishment of employment
st formcr domicile, removal of family to ~ew domicile, purchase of home, etc.)
homestead purposes FILEO ANp RECOROED
ST. LUCIE COUNTY. FL,A.
~FCORD VERIFIFD
~ 17'41_3g
. '~9 JAN 24 PN 1: 06
5~
~oc~as
,I
CLERK CIRCUIT COURT
I
~
I RJRTHER ~fRTIFY that I wil) aomply wifh all other requiremenfs of a le~al res~t of this Stste.
t
_ ~
1 FURTHER CERTIFY that I have no intention to retum to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT~;IUCIE COUNTY, FLORIDA, permanently.
- •1.. ~ • ~
_ ( me) Henry B Bo ey
_ , % ~ ~ -
_ _ -
, - - _
. _
, ' i ~ - - 5 ' f ~
~c.i " (/~ddress)
GOt~'.~'
Swom to snd subxribed before me this 24 dsy of .J an u a iy ~ ~q 6 9.
ROGER PORRAS
CLFRK CIRCUR COURT Notary Public
gy ~ D.C. My ~ommission expires
(To b~ ~:~arhd ie duplicaf~ and ori~inal fil~d wifh Cl~elc CiKUit Court, and duplicat~ wilh Tax Asaaer.)
eoox175 PALE135~ ,
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