HomeMy WebLinkAbout1398 O~cluation ot Domiall~ and Citls~nship ~~7,4168
TO THE STATE AND COUNTY TAX A~SSESSOR,
Sl. IUCIE GOUNTY, FIORIDA:
This i: my dscl~ntion of Domidle snd Citizenship in the Stat~ of Florid~ that I~m filin~ this day in aaoo~dano~ ~nd
in aonfonnity with Ch~ptK 2Z4. Ssction 222.17, Fbrida Statutes.
1 was fortnsrly • leqal rosident of Lawtotl OklBhoma
(City) lu~~)
end 1 rosidsd at 1708 B Ave. . fbwever ~ hsw d,ans,~ed my domWk
~ (Street end Numbsr)
ro and am and have besn a bona fids resident of the State of Florida stnoe Sth ~y ~
J~~ary , 19 69, a~ ~ 126~ So llth s tseet
(Street and Number)
1'ORT MHCE, S~AINT LUCIE COUNTY, KORIDA -
and this :taMmant is to be tsken as my dedaration of citizer~ship, actual legal residenos and cbmicita in the Stat~s of Horrida.
qn~t hero any pertinent fads, wch as sale of property or business, or ralinquishme~t of employment
at former domicile, removal of family to new domicile, purchsse of home, etc.)
BstablishingX residence
FILEO AND R~CQitDHQ
ST. UCIE COUNTY, ~l.A.
Cheryl is entering 12th grade of High SchoQ~COR~ VERIF~IEO~ /
5~ `2%'z,~
~ ~ 'S
69 JAN 2~ AM 10 • 5
~ ~i~4iss
~ R03ER POITRAS
~ CLERK CIRCUIT COURT
~
1 RJRTt~ER G~tTIFY that 1 wIl! aomply with all oft~er requirernsnts of a lepal rostdenf of this State.
i FURTHER CfRTIFY thst I have no intention t~o retum to my former domic~le, and 1 intend to remain in FORT
PIERCE. SAINT LUCIE COUNTIf, FI.ORIDA, permanently.
~~.~.i~':,`..,' :
_ . p~ l
` ; ; . • •i
_ ' ' ~ . t ~ - Donaid B. Smith
_ ~ .v; - .i~s .
t' a , ~ r _ (/Wd~eSS)
_ i . . i /
~'C; v4;~ anaur 69
S4(rqtt~ t~= a~!•.~'ubsuibed before me this 27th ~y J , 19 .
.
ROO~ ~OITRAS
CIRCYIT Notary Pubik
w,.t,.~u~i G~
By D.C. My Gommission expires
Re b~ ~oaarNd in d~pliea~ aad o~i~iaal Al~d whl~ C{~ek CM~vit Cow1, aad dupfkal~ wilb Taac A~~x.1
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