HomeMy WebLinkAbout0393Declaration of Domicile and Citizenship 18~~~
TO THE STATE AND COUNTY TAX ASSESSOR,
51. IUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in accordance end
in conformity with Chapter 222, Section •222.17, Florida Statutes.
I was formerly a legal resident of p~-~I~ ~•
(C;y) (State)
and 1 resided at .413 NfABA.SH ~e __. However I have changed my domicile
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since 1~ day of
April , t9 i9, and 1 reside at ZOZ Southern ~~e.
(Street and Number)
FORT PIERCE, SAINT IUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Honda.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
THpI-N~S EARL PRS~ITICB li years of age
JAM83 R~BRT PRBNTICB 13 years of age
tIllTH ANDRBM PRHNTTIC,B 11 years of age
Ftt_EQ p,NU RECOR~F ~ .
~-r.1_uc1E covN1 ~ r,138.~
tt~^ y PM !2:26 ~,~
&9 , . ~ ~v
CLERK CIRCUIT. COURT
1 FURTHER CERTIFY that I will comply with all other requirements of a legal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domicile, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
•~• ' 'off,.
• -' L''
lR~ ROB~BR'r B. PRBN'rICB
(Name)
z - , . - a01 Southern Awe. ~, Pt. Pierce. Pia.
• .~; ~ _
• ~ ~ - (Address)
~; ,~
Sworn to and subsuibed before me this 4th day of ~~ Sgt , 19~li4
ROGER POITRAS
CLERK CIRCUIT COURT
gy ~ oy- D.C.
Notary Public
My Commission expires
(To be executed in dupliub and original filed with Cileelc grcuit Court, and duplicate with Tax Asaosaor.)
~. ,3 aooK179 P~r~ 393
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