HomeMy WebLinkAbout0553' Declaration of Domicile and Citisenship
181508
TO THE STATE AND COUNTY TAX ASSESSOR,
ST. LUCIE COUNTY, FLORIDA:
This is my declaration of Domicils and Citizenship in the State of Florida that 1 am filing this day in acoordanoe and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
1 wss formerly a legal resident of Hiclics~iile
(City)
(Stn»)
and I resided at 92 wit JOhn $~reet _ However t have charged my domk3le
(Street and Number)
to and am-and have been a bona fide resident of the State of Florida since 1Tth day of
Jtiu~e , ~q 69 ,and 1 reside at 609 xisteria Awe.
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
(Insert here any pertinent fads, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.) -
gstablishing residency and catering s
Patty Hansaen in the 8th grade
Cathy Hanssen in the 10th grade
NeM Yort
~1E0 ANp REC R
ST, LUCIE COUN~Y,~O~
RECORD VERIFIEp~' ,
'69 AUG 181508
s ~ 10~ ~M
RODE , PptTRAS
CIERK CIRCUIT COURT,
1 FURTHER CERTIFY that I will comply with all other requirements of a legal resident of this State.
1 FUti;t?~~t RTIEY that 1 have no intention to return to my former domicile, and I intend to remain in FORT
PIERCE, ~,iAll~ti'EtbUNTY, FLORIDA, permanently.
.' ~' _ - _ r t~~G
:: ~ ~ - (Name)
- ~ ` . - ~''° ~ladeleae Hanssen
._
. - ~;~~
.:. ~,''• •::.: ~•' ~ , (Address)
CtG, P1`•
~a~...,.....
Sworn to and subscribed before me this bth day of Augu>zt 19 69
ROG~ POITRAS
CIRCUIT COURT Notary Public
gy a-~-~~ ~~`'~~~ D.C. My Commission expires
(To be executed in dupNcate and original filed with Clerk Cira~it Court, and duplicate wilk Tax Asaeaao~a
tic. 13
.,.~
~s - - =.
a~K1~'9 ~ 55~