HomeMy WebLinkAbout0044 Oeclaration ot Domicile and Citizenship
~.75254
TO THE STATE AND COUNTY TAX ASSESSOR, ~
~
Sl. LUCIE COUNTY, FlOR1~A:
This is my decla~ation of Domicile and Citizenship in the State of Flo~ida that I am filing this day in eao~rdanoe and
in ca~formity with Chapte~ 222, Section 222.17, Florida Statutes.
I was fo~merly a legal resident of Brookhaven _~n_~¢._Icland_ N_Y_
(City) . (State)
and 1 resided at _ Pine Stzeet _ . However I have d~anged my domi~le
(Sireet and Number)
to and am a~d have been a bona fde ~esident of the State of Florida since 28tb day of
OC tObet , 19~t2, and 1 reside at 164 Solaz AvP. ~ Pt St Lucie
(Street and Number)
FORT PIERGE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declarotion of citizenship, actual legal residence and domicile in the Stste of Horida.
(Insert here any pertinent facts, suth as sale of property or business, or relinquishment of employment
at former domicile, removal of iamily to new domicile, purchase of home, etc.)
Demetra Bennett ~ 6gears of age
; a~: ~~~o~;eEc
iuc~~ cu~u=.., r~.
~~cc=~~~ ~ .
. , _
vJ I .-t~, v ..a 1 . • .
r:7.~Ut~ ~,Ui e ~-~ri~J
; ~~ERK ciRcuf f cau~ ~ ;
f
{
' . 1.7`5~4
1 FURTHER CERTIFY that 1 will cornply with all other requirements of s lega) resident of thia State.
~
I FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT ~
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. 1
~ Albert F, Bennett
•
(Name)
~ ` ~ ' • . ~V
(i ~ .
~ _ ; =
~ i,~'• = 164 Solaz Ave., Pt. St. Lucie
- ~ - ~3 ' (Address)
.1';4' _ _y
'~~~~ir~ri~~b~ahd~3ubscribed before me this 3re day of March ~q 69 .
~ ..:tlis:t: .
~
ROGER PORRAS ;
IRCUIT COURT Notary Public
.
~ 8y D.C. My ammission expires
(To b~ ~x~cut~d in dupliut~ snd ori~nal filed with G~rk Urcuit Court, and duplicat~ with Tax Ats~s~o?.)
~ ~ 3 ~o~ 17~6 ~ ~4 `
-
~_-rd~~r_~