HomeMy WebLinkAbout2891 1`~5143
Declaratio~ o! Domtcil• and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
ST. IUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and ~itizenship in the State of Ftorida thst 1 am fitin~ this day in sooorda~oe and
in oonfomnity with Chapte~ 222, Saction ~22.17, Florids Statutes.
I was formerly a legal resident of COp~liti New York
(City) (State)
and 1 resided at ROUte #1 . However 1 hsve charqed my domidle
(Stteet and Number)
b and am and have been a bona fide resident of the Stats of Fiorida sinoe 19th daY ~
February , 19 69 , a~ ~ P. O. Box 1660
(SNeet and Number)
FORT M~CE, SAINT LUCIE COUMTY, RORIDA -
and this stateme~t is to be taken as my declaration of atizenship, actual legal residenca and domiale in the State of Florida.
(Insen here any pertinent facts, such as sale of piroperty or business, or relinquishment of employment
at former domicile, removal of family to naw domicile, purchase of fwrt~e, ett.)
Placing Children in School
Jill Tripp ~4yr.
Jeffrey Tripp 6 y=s, i,~51,43
~ti`E~ aNp ~RUN
Y~
l
A.
st •RE~~
p vER1F?E~
~ ; 32
PM
19~9 FE3 2~' ~T RA5
II ER F ~ OURT
~ ~
RK CIRC~~Z
f
i
~
1 FURTHER CHtTIFY that 1 will aomply witfi all other requiremenh of a lepal resideM of this Stste.
~
1 F~,~tRTHER C~i~'fiF~'that I have no intention to retum to my former domiUle, and I intend to remain in FORT
;y,..
PIERCE, SAINT LUCIE COUNTY, FLORtDA, permanently.
~Name~ ands riPP
.~GV~1f~QG~•• -
~ ~ c; :•y~~y''ic~'•,l p. O. Box 1660, Ft. Pierce, Fla.
• ~J ~ o : a
~ i ~-z.,: _ M: _ (Address)
2~~= ~
~ ~ ~ ~
~ • 26th February 69
" ;s, ~ '''/~~~,sr~;ubsuibed ~+efore me this day of . 19 .
,~~Y 1~~3; ~
~~''h'i:•~>~..~ti~~~ ' -
' . - i
~R~s j
CIR COURT Notary Public
.
By O.C. My C.ommiu'wn expires
L` Ro b~ ~aarbd in dupllcat~ and ari~inal Al~d with Cl~h Cira~it Cowrf, and duplieata wilh Tax A~s~or.)
„ 600Ki75 ~288'7
~
_ _
~w ~ _ , T~.~,~~- -
~~~_~~-~~L~.~~~-~y _