HomeMy WebLinkAbout0043 Declaratlon ot Domiciie and Citizenship
,
. ,
TO THE STATE ANO COUNTY TAX ASSESSOR,
51. lUC1E COUNTY, FLORIDA:
This is my declaration of Oomicile and Gitizenship in the State of Florida that 1 am filing this day in saordance and
i~ co~formity with Chapter 222, Section 222.17, Flo~ida Statutes.
I was fo~merly a legal resident of SO. Ro~rlston M888.
(City) (State)
2 King Street
and 1 resided at _ _ . Howevef 1 have changed my domicjle
~ (Street and Number)
to and am and have been a bona fide resident of the State of Florida since March 25 day of
, 19
69, and I ~eside at 801 El Raricho Dr3ve
(Street and Number)
FORT PIERCE, SAINT tUCtE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, ac'tual lega) cesidence and domicile in ihe State of Horida.
(Insert here any pe~tinent facts, such as sale of property or'business, or relinquishment of employment
at former domicile, ~emoval of family to new domicile, purchase of home, etc.)
placing grandchild in'public school (Gina Ann LeBlanc)
(child arrived and ia living with grendmother~ remainder
of family will move here with two or three montha)
r175~253
t,~ti; ~ECOrGEt?
~ . ~T. LUC~~ C~I~~T'~
ftEC~"D '1;_FIi ~ ;
j „ ~
~ i..:~ ;..,,f '.3 ...i , . ` 1
~.uUtR iJi.~~ i-si.:~
~LERK CiRCUi i COUR T
I FURTHER CERTIFY that 1 will oomply with all other requiremenri of s le~al resident of this State.
1 FURTHER CERTIFY that I have no intention to retum to my former domiGile, and I intend to remain in FORT
PiERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
• ( me) Mary Melo •
. _ - -
. _ - (Address)
_ j
~`Sy+rwn to:_and~subscribed before me this Sl"d day of ~arch ~ ~q 6~,
• ~ n ~ ' i
hc~~e romws - .
~K CIRCUR COURT Notary Public
By D.C. My Commission expires
(To b~ ~xeculed in dupliah and ori~insl filed with Cl~rfc Cirwit Court, and duplicat~ with Tax Ass~or.)
~ , 3 B~oK 176 4~
: = t~~
~
~~_i~~ _v,.~ G ,_w , ,