HomeMy WebLinkAbout0510 Deciaration ot Danicil~ and Citize~ship
TO THE STATE AND COUNTY TAX ASSESSOR,
ST. LUCIE COUNTY, FLORIDA: _
This is my declaration of Oomicite and Ctitenship in the State of Florida that 1 am fil:~ thi: day in aooordar~os a~d
in oonformity with Chapter 222, Section 222.17, Fbrida Statutes.
I was forme~ly a legal msident of Beckiey West V8.
(Ciy) (State)
and 1 resided at 528 Lillq Drive . Howe~ ~ hav~ chan~d my domWle
(Street and Number)
b and am a~d have been a bo~a fide ~esidem of the State of Florida si~oe Mav 1 dey of
, 1968 , and 1 reside at 1721 AvaloD A~~nue
(Street and Number)
FORT r1ERCE, SAINT LUCIE COUNTY. RORIOA
and this statement is to be taken as my declaration of citize~ship, attual legal residenoe and donnidle in the State of Florida.
(Insert here any pertinent facts, such as sale of property or busineu, or ~elinquishment of employment
at fo~mer dcmicile, removal of family to ~ew domiale, purchsse of home, etc.)
homestead purpases
,
1`~'5G(l6
~1LED ANO RECORDEO
ST. LUCIE COUNTY, Fl.a, ~
~ ~Rr, v~~~Fi~o
'69 M4R I 4 AM IQ : 07
~
~
~ ~iO~~P; r01T~
~ ' CLERK CIRCUIT COURT
1 RJRTFIER ~HtTIFY that I will oomply with all ather raquiremsnts of a lepal resident of this State. '
1 FURTHER CERTIFY that I have no intention b return to my former domiGle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
- ) F cis J. Berg
~
Ulddress)
S~is~rh to a+~d subsuibed befora me this 14 day of MatCh ~q 69 ,
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•n ~ ~'~pYRT Notary PuWic
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By , D.C. My Commission expi~
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