HomeMy WebLinkAbout0481 I ~
Decla~atio~ ot Dornicile a~d Citizenship ~
TO THE STATE AND COUNTY TAX ASSESSOR, •
St. LUCIE COUNTY, FLORIDA:
This is my decla~ation of Domicile and ~tizenship in the State of Florida that 1 am filin~ this day in aooordanos,and
in aonformity with Chapter 222, Sectio~ 222.17, Florida Statutes.
• Fermington Connecticut •
1 was forme~ly a legal ~esident of
~Ciy~ (Stats)
20-A Lake $hor@ rive
and 1 resided at A nartment . However 1 have chan~sd my domidle
(Shaet and Number? '
to and am and have been a bona fide resident of the State of Florida sinae ~~oember 22 ~y of
, t9 68 , and I res•~de at 1436 San deronimo
(Street and Numbsr) ~
tORT'IERCE, SAINT LUCIE COUNTY, FLORI~A
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Fiorida.
(Insert here any pertinent facts, such as sale of property or business, or ~elinquishment of employment
at forme~ domiale, removal of family to new domicile, purchase of home, etc.)
for homesteed purposea end reeidency purposee
_ _
1~5~88
~ ~1~EA A1~D ~EGD.R~O
S~r LlIfClF COU
. RECpRD yE~
Y, ~i.
1969 l~ai~ f 3 ~ `
_ Ro PM y3 ~
~ ~~EaK ~
Rcu°?rrc As
ouR T
~
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I FURTHER CHtTIFY that I will aomply with all ofher requiremenfs of a le~al resident of this Stata.
I FURTHER CERTIFY that I have no intention to retum to my former domidle, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
J
Ma~~ Jame . amon
? ` )'I')
, . Miriam ~I. Lamont
~
. (Address)
-
a = 13th Merch 19 69
z~ - Sworn~p and subscribed before me this day of _ .
" ~ _
~~romus
G~ERK C COURT , Notary Publk
s
By D.C. My Commiuion enpiros ;
(Ts b~ ~x~aM~d i~ d~plicab and ori~inal fiMd wilh Cl~k Cirari~ Cew~, i~d duplicaN will~ Tax A~a
;~178 ~ 480
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