HomeMy WebLinkAbout0398 Dsclaratlon ot Don~icile an~l Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FLORIDA:
This is my declaration of Domicite and Citizenship in,the State of Florida that I am fitin~ this day in acoo~~dance and
in oonformity with Chapte~ 222, Section 222.17, Florida Statutes.
I was forme~ly a legal resident of ,~rlll]gt011 Va
~City~ (Stat~e) +
~r '
~
and I ~esided at _ 16U2 Np. RhOdes Street . However 1 have chsnged my domidle
(S~reet and Number)
to and am and have been a bona fide resident of the State of Fiorida since NOV . 26 day of
_ , t9 ~8, and ~ res~de a~ 125 Serenata Court
(5treet snd Number)
FORT MERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declarotion of citiZenship, actual legal residence and domicile in the Stsb of Horida.
pnsert he~e any pertinent facts, such as sale of properiy or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, ett.)
for homestead purposes 1"7551'7
r tLEO AND REGOROEO `
ST. LUCIE COUNTY, FL~. ~
RECORO VERIFiEO
1969 NAR I 2 aM I I: i 4~
ROGER P ~ qS !
CLERIt CIRC COURT j
i
~
1 FURTHER ~ERTIFY that I will aomply with all otF~ roquirements of a leyal residenf of thia State.
I FURTHER CERTIFl( that I have ~o intention to return to my former domicjle, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUN71f, FLORIDA, permanently. ,
~ ' Dl~1~*-v
(Name~tuth B. Stearns
(Address)
Sworn to and subscribed before me this 12 day of MarCh ~ 19 69
ROG~ POI~R~1S'~~ , ~ -
~,~~~rr ~pN~1'~.'=, - Notary Public
. ~ .
gy ' " D.C. My Commiu'wn expires
.
. r , t O - . ~
•t,; : .
- , : '.t _
% 4.i~'~=~s ~
(Te` yt?,and'ori~inal fil~d whb CIKk qraih Courf, and duplicair whh Tan Assn~or.)
• ~ S~^ ~ ~~__~t~ -
r~,_ ~ a . , , ~1fiE ~
~:W - - _
z ~ ~ ~ ~
~