HomeMy WebLinkAbout0762 Declaratto~ o! Oomictle and Citizenship
TO THE STATE AND COUNTY TAX A~SSESSOR,
51. lUC1E COUNTY, FIORIDA:
This is my detlaration of Oomicile and Citizenship in the State of Florida that 1 am filinp thit day in aooordana ~~d
;n oor~fo~mity with Chapter 222, Section 222.17, Fiorida St~tutes.
I was formerly a leqal ~esident of Fairfax Virginii '
(Ciy) (Sta») ;
and 1 ~esided at J~cie Lane ~~Ve
(St~eet a~d Number) -
ro and am and have been a bo~a fide resident of the State of Florids sinos August ~y ~
, l9 68 , and ~ ros~de at 9801 South Indian River Drive
~ (Street and Number)
fORT PIERCE, SAINT lUC1E COUNTY, FLORtDA
and this :tatement is to be taken as my declaration of citizenship, actual legal residence and domid{e in ths State of Fbrida.
qnse~t here any pertinent facts, such as sale of property or business, or ro{inqui~msnt of ~r+ploynMM
at former domicile, ronwval of femily to new domicile, purcha~ of home, ~tc.)
for honestead purposes -
FILED ANO RECORDEO,
~ ST. LUCIE COUNTY. FLQ.
t2.-C~RC% V= K~FIEO
1'75'~'85
'69 h1AR i 8 PM 2?
i .
fiOG~R i'OITRI~S '
CLERK CIRCUIT COURT
, c
~ .
1 FURTHER CERTIFY that I will oomply with all ath~ requirementt of a le~ai resident of this Stat~.
1 FURTHER CER7IFY that I have no intention to retum to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUGIE COUNTY, FLORIDA, permanently.
t/ % : c~-s /c S _
. ;E.. ~ . . Nancy T. Broota
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"'`i~"' ~ ~ ~ 18 ~larch ~ 19 69
•''.Sww~ to~a~i~.subscribed before ms thi: day of
:y~i' • .
'r:r •
,
. ` J` f Roselr ~om~as
CLERK"CtRCUR COURT Notary Public
gy D.C. My Commission expires
i
(To b~ ~x~wt~d 1n d~plicat~,aad oriolnat fil~d witb CiMk C:::~it Couh, and d~plicah witb Tsx A~s~o?a
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