HomeMy WebLinkAbout0141 . i~s~~s •
Declara~tlon ot Oomicil• and Citisenship ~
TO THE STATE AND COUNTY TAX ASSESSOR,
St. lllClE COUNTY. FIORIDA: -
This is my declaration of ~omicile and Citize~ship in the State of Florida that 1 am filiny thi: day in aaoordanoe and
in conformity with Chspter 222, Section ~222.17, Florida Statutes.
1 was forme~ly a legal resident of South Bend Indiana
(City) (Stats)
and 1 resided at _ 1238 N. I iOtlwOOd Drive .~WeV~ my cbmidle
(Strset and Numbe~) !
ro and am and have been a bons fide rosident of the State of Florida since ISth day oi
January 68 206 N. 23rd Street
, 19 , and 1 roside at
(Street and Number)
l~ORT MERCE, SAINT lUC1E COUNTY, FLORIDA
a~d this ststement is to be taken as my declaration of citizenship, actual legal residenoe a~d domiale in the Staro of Horida.
(Insert here any pertinent facts, such aa sale of properry or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, ete.)
ESTABLISH RESIDENCB
~ :Lt~ ~~hD r~.E~~Q~DEQ
Si. LUCIE COUNT~r. ~c.a.
RE~ORJ .'~P,!F+,:..:'
,
~ C ERK CRRCUIT~C URT ~
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1 RJRTHER CERTIFY that 1 will compt`y wlth all other requiremenfs of e le~al resident of this Shte.
1 fURTHER CERTIFY that I have no intention to retum to my former domicGle, and I intend to remain in FORT
~
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. !
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~•"°"''"'''r•. (Name) J hn C. Satterf ield
,
. . ;
. ~ ~ _ .
. ~ 206 N. 2 3rd St., Ft. Pierce, FlaZ
_ " ~ ~ , ~ (Addrels)
_ i,
_ _ ~
,~',Sn~r~p,i,a_,1~p.~nd~~stribed befote me this Sth_ ~y March 19 69 .
V ~ ' V •
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C~CWT C Notary Public
~
gy ~.C. My Commiuion expires
R. b. .oo.cM~ M dupas.l~. .ea ..i~i~al Hl~i wilb a..k ciraii~ c.w+, .~d drplica+. wi11~ Tax Aw.....a
~ a ~OOK PA1?E
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