HomeMy WebLinkAbout0978 ~ Declaration ot Domicil• a~a~ Citisenship
70 THE STATE AND COUNTY T~.': ASSESSOR,
Sl. LUCIE COUNTY, FlOR10A:
This is my declaration of Oomicile and ~iti=enthip in th~ Stat~ of F{orida that I am filinq this day in aooordana and ~
~
in aooformity with Chapter 222~ Ssction 242.17, Florkla Statutes.
I wa: formsriy ~ I~qsl ~id~nt of Allience Ohio ~
(Gty) (StsM) j
,
, :
and i rosided at 1085 Lilly RoBd ~~w ~ ~
rqsd mY domidl~ + -
(SKast and Numb~r)
:
ro end ~m ~nd have been a bona fkle ros~dent of th~ State of Florida s~na MBrch 17 ~y ~ • f
6 10~ Seraneta Court '
19~_, and 1 raide at
(Str~e~t a~d Numb~?)
FORT MERCE, SAIN? WCIE COUNTY, RORIDA J . ;
and this statement is to bs taken as my dedaration of citiser~ship, ~dusl legal residena a~d danidl~ in th~ Stat~ of Horida. '
;
(l~sert here any pertinent facK, auch ss sale of property ar buii~ss, or relinquishm~nt af ~rrip{oym~nt
at ~orm~r domidle, ra~noval of fimily to n~w domicils, purcha~ of horr~, ~tc.)
Tntering child in public school
~ FILEO AND RECORDED ~ ~
. ST. LUClE COUNTY, FLA: •
~E~ORn ~~ERlF!EO
~i[zzz~ Sheree L~nn Burley -1'~''S9~~
'69 k~,R 2I PM 12: 14
~o:,=~ z a~TRQ~~ ` ~ .
CL'ERK CiRCUtT COURT ~ .
. ;
1 RJRTHER CER7IFY that i wil{ compty with ati oN~ nquiremenb of a fepal nsident of thb Statt. ~
'
i FURTHER CERTIFY thst I have no intention to return to my former domicile, and 1 i~tend to remain in FORT
PIERCE, SAINT LUCIE COUMY, fLORIDA, perrr~anently.
.
' ~ ~~j Dona ld L. urley
G4ddreu)
" ~ •
~ , _
. •611KOff1 10~Afld`itlbiCflV~ ~QfOfQ f11e if11f 21 - d8y Of ~arCh i 19 5q _
- ,i ~
-
Roc~t ~iri~s-
ct~ic uREui~ cou~ n~ora~y Pu~K
- _ •
.
8y " ` O.C. • My tommisslon .xp;r~
•~,.,~~,,;.l:~~' ~
~ ~
. ~
r
~
; (Te b~ ~x~wMd iA dvpiie~t~,and o~ioinal til~d w&~ C~k Cinwiit Cewt, aad duplicaM wi1~ ?aot A~~a
!
~c176 ~ 97~
3 ~ - y fi
~
"L`.w - ~ 4~~ ar
. t!;'~.. `ic