HomeMy WebLinkAbout0093 I
i
Oeclaration ot Domicile ac~d Cittzenship ~~,Si3 ;
TO THE STATE AND COUNTY TAX ASSESSOR, ~ ~
1
51. LU~IE COUNTY, FLORI~A: ~
This is my declaratio~ of Domicile aru! Citizenship in the State of Florida that 1 am filing this day in sooordanos snd 1
i
in conformity with Chapter 222, Section 222.17, Flo~ida Statutes.
1 was formerly a legal resident of Garrison Nep YOr~
(Ciy) (State)
and I resided at Bear MOUI'1ti~D Bt3dgc ROad Howevef I have chanfled my domidle
(Street and Number)
to and am a~d have been a bona fide resident of the State of Florida since 19th day of ~
~
~.Aprii , 1969 ~ and I reside ar ~601 N. Indian Ri~er Dri~e ;
(Street and Number) ~
FORT PIERC6, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Horida.
(Insert here any pertinent fads, such as sale of property or busineu, or relinquishment of employment `
i
at former domicile, removal of family to new domicile, purchase of home, etc.)
Bstablishing residence and entering children in school
!.'7`?'5i3
FILED ANO RECOROEO ~ - ,
ST. LUC1E COUNTY. FLA.
RE_C~P,[) VERiFtF~J
'69 APR 25 AM ID : S I ~
i
~
f ~~OG~it i DlTR.:S
~ CLERK CIRCUtT COURT
i
!
I FURTHER CERTIFY that I will oomply with all other requirements af a legal resident of this State.
I FURTHER CERTIFY that 1 have no intention to retum to my former domiCile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FIORIDA, permanently.
~
C ~ ,-,~f (Name)
""~UO~`~ Donald C. Griffin
- - . - ~
~ _ ~ ~ ' ct~ (Address)
~ ;
v:t • ' f .
. ,
~/.~~SYVOr~it:it~~d'~~subscribed before me this 23th day of Aptil , ~q 69
CjL
ROGER PORRAS .
CIRCUR COURT Notary Public
8y a~-'~`'~ D.C. My Commission expires }
(To b~ ~x~cvt~d in dupliut~ and ori~inal ~il~d with Cl~rlc Circvit Cou~, and dupliwt~ wilh T~x Ass~ssor.) . ~
~Ki77 P ~
,3 _ . _ _ 93
- Y~ _ _ - - - - v~
~ .
_ "-ba'~~ ~ ~ Y r ~
~