HomeMy WebLinkAbout1930 oeclaratton ot Domicile ~nd Citizenship 1"~45~3
TO THE STATE AND COUNTY TAX ASSESSOR,
Si. LUCIE COUNTY, FLORIDA:
This i: my declaration of Oom'icile and Citizenship i~ the State of Fiorida that 1 am fili~y this day in aooordsnce and
;n conformity with Chapter 222, Sectio~ 222.17, Florida Statutes.
1 was farmerly a legal rssident of Wh~ tewater WiSCOASin
~~i~y~ (State)
and I resided at - 35 Ridge ROad . However 1 have chan~sd my domic3le
(Strect and Number)
to a~d am and have been a bo~a fide ~esident of the State of florida since _ 1 S h _ day of
_ AuguSt _ , ~q 68, and 1 reside at 414 GaSptilla
(Street and Number)
FORT PIHtCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my decla~ation of citizenship, actual legal residence and domicile in fhe Stab of Horida.
(Insert here any pe~tinent facts, such as sale of property or business, or relinquiahment of employment
at former domicile, removal of family to new domicile, purchase of home, ett.)
FILEO AND RECOROED'
ST. LUCtE COUNTY. FLd.
RECOR[! VERlFtED
'69 f EB 6 PN I: 5- ~ ~
' 1`74533
ROGER FOITRAS
~ CLERK CiRCU1T COURT:
~
~ ~
E ~
~
~
~
1 FURTHER CERTIFY that 1 will oomply with all other requirements of a le~al reside~t of thi: State.
" - i FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to ~emein in FORT
VIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~ ~
~~_1~+~~.
~f ` 4 _ _ '
. 'l:l~'~~Y
p~ , i d 1~ ~ . ' M s . ~amQ~
. ~ ~ v
~ : . ~ G \
: t .
~ ~ : ~~-~:~_:+y 1.. ,
414 Gaspariila, Pt. St. Luaie
~ • f'~~~ ` ~ ' . (Address)
_ : ; :1 . : , .
~
a~ 4 . ;
`r : `
~t~'~r~•~~wo.rs~t$~~ wk~scribed before me this 6tb day of February , ~q 69 ,
, ~ ~
~ .
.~.r.
: ~
CI~RK GRCWT CONRT Nohry Publit
9y ' s~ D.G. My con?miuion .xpi~ ' '
;
Rs w~oaaN~ iw d~i~ CINIc Cie~evil Cw~, swd ~IicN~ wjM~ T~oc A~~a I
bOGKl I'~6i
, ~
. . - - , . _