HomeMy WebLinkAbout1070 ~ Deci~aWon ot O~tt~t~li~ and Ctttse~ship .
TO THE STA?E AND GOtJNTY TAX ASSESSOR, j
Sl. LUCIE ~OIJNTY. FIORID/~ ~
~
Thts is my d~cluation of Domicit~ a~d pti~?ship 1~ th~ St~t~ of Flotida that 1 am filkp thh day M~ooordana Md .
in aonform~ry with Chap»r 22~, S~ction ~ZZ.17, Florida Statuta.
Duinth I~li ~
1 wu formerly a Ipal ~d«+t of
K~~Y) .
and ~ ns'~ded .t 1a06 Bileen Are. How.~ ~ haw cha~q.d nqr domW1.
(~tt~et a~d Nun~b~~)
ro and am a~d h~w bs~n • bona fid~ nsident of t~t Stat~ of Fbrida sina ~ at - day of
r. f
Jul~ 68 a91a Porsest Tessace
19 , and 1 ~kl~ at
(Stn~t se~d Nwr~ber)
FORT rf6tCE. SAINT tt~C1E COUNTY, RORIDA
and thi: statennsnt is to bs taken a: my dscluation of dti~nship, actwl lp~i r~ideno~ and domidf~ i~ th~ Staa of Horkl~.
qr~sert h~n any pertine~t facts, wch as ~1~ of property or bwin~u. or roli~qui:hrr~?t af ~ri~lo~?m~nt
at formK do~midl~. ~~moval of funily to n~w domicil~, purchaa of Iwrr~. ~
Bitabiiahing residence snd appl~ing for ho~eatead
. .
: 1'76~2
~ F~LEp AND aECORDEO
gT; LUCIE COUN;f ~pLA•
:.=..ORS' - .
~ 2 y p~ 2: l ar~~ ~ .
69 MAR
' =:v~r~ ~~or~~~s
~ .r,l.~ZK C~RCLti COURT - .
~ .
i
~
i RJRTHER CERTIFY ttut 1 will aanply with dl athrt nquinrrNnts of a lp~l raid~nt of this Sts».
~ 1 FURTHER C.ER?IFY th~t I h~vs no int~tion to ntum t~ my ~ormK domitil~, and 1 int~d to nmain i~ fORT
PIERG~.Sr11NTr~lE COUMY, FLORIDA, p~rmsn~ntly.
, ~~ti - ii: .
; ~1,:-~., rn ~~;Y_; : .
<1p.,;,,;__~ ~ e
. .~~x, - .
~ w~,,.~
1~i1~~<.J''
- ~ tt - . Robtrt ~IcLanghlio
w [ J • i•t~ ~C ~
' • . ~ i' " • ~ •
. . . - ~ ~ ~
7'=: ~ ! ~ t ~ .
'•'~1 ~ l/
''i1~~±•(~ ~1 .
I ~ ••vV, ;1~
~ r~ /~'rr•Ie•, ` ~ . -
. ~ ~ a4th ~ lla:cy . 1969
• Sworn to ~nd wbscrib~d b~fot~ mt thk d~y
ROGER rORRAi .
CIRC.Yit GOYRT Notul? Publk
~ OL' p.C, Mp Coemr~i~ion ~cpkw
. ~
. i
(T• 1»_~aae~M~i r i~lic~l~,a~i «i~iw~l IM~i wNM Ci«k CMai C~y a~i ~li~w wid~ Ts Aw~KJ
;
r.. t i-~ - ~ _
~ _ .