HomeMy WebLinkAbout0755 Declaration ot Dorr~icil~ and Citisenship 1~"~942
TO THE STATE AND COUNTY TAX ASSESSOR,
51. LUCIE COUNTY, FLORIDA:
This is my decla~ation of Domicile and Citizenship in the State of Florida that I am filin~ this day in aoo~rdano~ a~d
in confo~mity with Chapte~ 222, Section 222.17, Florida Statutes.
1 was fo~me~ly a legal resident of Pitte Lr~h pz-
~Ci~y~ (Stah)
and I resided at a40 penn Center Bl~d• , Hcwever 1 have chan~ed my domidk
(Street and Numbe~)
to and am a~d have been a bona fide resident of the State of Fiorida since Zb day of
Anrii , 19_.44, and ~ ~eside at _ 3331 lrlonte Vists Street
(Street and Numbef)
FORT MERCE, SAINT LUCIE COUNTY, RORIDA p~rt St. Lucie
and this statement is to be taken as my declaration of citizenship, actual legal residenoe and domicile in the Stats of Horida.
(Insert here any pertinent fads, such as sale of property or busineu, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
FILED AND RECOADED `
ST. LUCIE COUN7Y, FLA.
RECORD V~Rl~lFD
Bstsbliah Residenc~ 1?~~41
'69 MAY ? PM 2: 37
~
iiQ~ER r01TRt.S
ELERK ClRCUtT COURT
i
~
~
I FURTHER CERTIFY that I will oomply with all other raquiroments of a leya) resident of thi: State.
I FURTHER CERTIFY that I have no intention to retum to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LU~IE COUNTY, FIORIDA, permanently.
(i. ~~~Vl
(Name), y!=s, Blba B. tche~
(Tbei~sa J.)
(Address) ~
Swom to and subsuibed before me this ? h day of -bi.~ . 19~~• i
~ - ~
.
R006R•~1!~~; ~ .
~~V Notary Public
~ `Gl:~'!i
gy - D.C. My Commission expires
_ ,f. , i -.f•~'~ u
~ ~~~:,~~'f ;`~.--:~'E '
-r;=----":~-+--
(To =~~~A~d in.~lir~li~ab and ori~nal filsd with Cl~rlc Circuit Court, and duplicah wjlb T~x As~or.)
~s~~ aooK1?7
- ,3 . PacE
- ~ •~,~x~ ~ - - _
i
=s~