HomeMy WebLinkAbout0631Declaration of Domicile and Citlsenshlp
TO THE STATE AND COUNTY TAX ASSESSOR, 1817'
ST. LUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day In accordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of
LaM>tenceburg
(CIN)
and 1 resided at . a43 Nahr Aire
(Street and Number)
band am and have been a bona fide resident of the State of Florida since
Tenn.
(Stah)
However 1 have changed my domidk
3sd
1~~ 19 69 , and I reside at lOS NOSth 4th st
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIOA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the Stah of Florida.
(Insert here any pertinent facts, such as sale of property or busineu, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Bntering Fred David Vaughn in the 8th grade
RI~EO AND RECORO£D1
ST. LUCIE COUNTY. FLA.'
RECORD VERIFIE18i5S'7
'69 AUG ~ AN 10 ~ Z2~~
ROGER P017RAS
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 domicjle, and I intend to remain in FORT
PIERCE; 'SA1IVT~CIE COUNTY, FLORIDA, permanently.
r.. _r
. ~ l
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'. .
Sworn to and subsuibed before me this 7th
RO~i~ rORRAS
CIRCUR COURT
ey °i-~~ D.C.
day of
Ines Yau()
(Address)
da of August 19 69
Y
Notary Public
My Commission expires
(To be executed in duplicate and original filed with Clerk Grant Court, and duplicate wish Tax Atoeaora
~. ,, aooK 17y ~ 630
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