HomeMy WebLinkAbout0394Declaratioln of Domicile and Citiselnship
TO THE STATE ANO COUNTY TAX ASSESSOR, 1813C~n
Si. lUC1E COUNTY, FLORIDA: ~~``''''~~
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in accordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a legal resident of ~-~' ~~~ -
(City) (Stets)
and 1 resided at . _ ~Z ~~L~~r~~t However 1 have changed my domicGle
(Street and Number)
ro and am and have been a bona fide resident of the State of Florida since 2Sth' day of
i
Tuly_ 19~~, and I reside at P. O. 13o]t 14x2
_ - (Street and Number)
FORT PIERCE, 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 Honda.
(Insert here any pertinent facts, such as sale of property or business, a relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
~ EATrBRING CHILDRffid IN BBHOGL
1tIC1`UAL YBIITBR S yrs.
II
GBRAID YBITTBR 3~! T yrs.
_ ~~
(Name) l~lc . Patricia Yeitter
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
Li .•'S~ , '' tCG~
• i ~r 0 : o
r G,
G ~ -- ? ~..
~~ ;~~., .Sgvorn 1Q•'t~nd subsuibed before me this
• • •~:
ROGER POITRAS
4. ______ -__-____ ___.~_
By
FILED AND RECORDEpt
S7, LUCRE COUNTY .
RrCORp yER-FIED A' .
'69 AUG y j8~390
PN r2: 33
reCFR POrTRq$
CLERK CiRCViT COVRt:
P. 0. Hos t4~2 - Pt. Pierce, Fis.
(Address) 33458
4t)b day of Augrst ~ 19 i9 .
Notary Public
D.C. My Commission expires
No. 13
FURTHER CERTIFY that I will comply with all other requirements of a loyal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT
lTo Ileee executed ire duplicate and original Bled with Gerk Circuit Court, and duplicate with Tax Asaesaos'.)
BooK 1 ~'9 ~A~ 394
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