HomeMy WebLinkAbout1501 O~claratton ot Domtcil~ a~d C1tl:enship
TO THE STATE AND ~OUNTY TAX ASSESSOR, . 1`74243
Sl. LUCIE COUNTY, FLORIOA:
This is my declaration of Oomicile and Citizenship in the State of Florida that i am filin~ this day in aooordanoe snd
in conformity with Chapter 222, Saction 222.17, Florida Statutes.
I wss formerly a le~al ~esident of B r ad le y I 11.
(City) (Stete)
and 1 rosidsd at 43 5 S P r si r ie , However ~ have chan~sd my domicile~
(Street and Numbe~)
to and am and have been a bona fide resicient of the State of Florida since 28th day of
January 69 1020 Oran e Ave
, 19 , and i reside at P, .
. (Street and Number)
!'ORT M~C~, SAINT !tlCIE COUNT7, RORIOA ~
and this statemant is ro be taken as my declarotion ot citizenship, actval legal residenoe and domidle in the State of Horida.
(Insert here any pertinent facts, such as sale of property or business, or rolinquishment of employment
at former domicile, ~emoval of family to new domicile, purchase of home, etc.)
~stablist~ing residence
FiLEO AND RECOROEO `
ST. WCIE COUNTY. FLA. +
Bntering Bruce in the 4th grade ~~4~~p
• " K~ren in the 3rd grade , ~
69 JAN 28 PM 1.0
" Donovan in the lst ~rade
.
ROGCr~'~'OITRAS
CIERK CIRCUlT COURT
I
I RJRTHER G'~RTIFY that I will aomply with all other requirements of s le~al resident of this Stste.
I FURTHER CERTIFY that I have no intentian to retum to my former domitile, and I intend to remain in FORT
i
PIERCE, SAINT,,UKIE COUNTY, FLORIDA, permanently.
:4:LSilIl;f.j, ~
~i~ ~
~ ,t Q/'~~VAL
~ ~ , ~ v~~'.,~ ~ , (Name)
~ : _ . Marvin L. Kearney
; _ ~ ; : ' _
- (Address)
' - . •~.l -
. Z
-..Swpm t'o and subxribed before me this 28th day of Jan , 19 69.
~
rOITRAS
CIRCINT Notary Publit
a.~.~Cc.e~
O.C. My Cornmistiat ~xpires
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R~ w~aN~ iA d~r'lical~ .~i~Mal wili~ Cl~k c.i~wiM Cw.~. ana ~q~u/~ wiN~ T~oc A~.a
~i75 ~1~98
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