HomeMy WebLinkAbout0640Declaratioln~ of Domicile and Citizelnship
TO THE STATE AND COUNTY TAX ASSESSOR, .18156a3
Sl. LUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in aooordanoe
in conformity with Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a legal resident of CheatertQn
(City)
and i resided at _ 1101 pOrtlr Ares
(Street and Number)
to and am and have been a bona fide resident of the State of Florids since
Ind.
(State)
However 1 have changed my domidle
lsth
day of
J~ 70G Mita Street
19-~ and I reside at
(Street and Number)
FORT ttERCE, S/UNT LUCIE COUNTY, FLORIDA ,.
and this ststement 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.) .
Establishing residence snd
Bnteri.ng Suzette is high school
Lirt in Jr. High
"FILED ANO !iE~ OEO~
ST. LUCIE COUNTY, ftLA.c
RECORD VERIFIED
181563
'69 Al1G 7 ~M IO : q2
_~
ROGER POITRAS
CLERK CIRCUIT CDURTi
t-,
I FURTHER CERTIFY that I will comply with all other requirements of a legal resident of thi: State.
I FURTHER CERTIFY that I have no intention to return to my former domidle, and I intend to remain in FORT
PIERCE, SAINT LUgE COUNTY, FLORIDA, permanently.
,: ,-. ~4
_ ~`s .. `'''`--_~ Arthus llcCosh ~
:.,
. y•. ~ .•yti ~..
~"~6wom~~to and subscribed before me this 7th dsy of ~gVBt ~ 19 ib9 .
~=
Rode roITRAs
CIRCUR COURT
gy ~ ~ O.C.
Notary Public
My Commiss'wn expires
Qo be exearbd in duplicate aed original filed with Clulc Grarh Court, and dupliu» wiNr Tax Asaaaoa)
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a~i`~9 ~ 6~'9