HomeMy WebLinkAbout0815Declaratioln of Domicile and Citlzelnship
TO THE STATE AND COUNTY TAX ASSESSOR, 181693
Sl. 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
and 1 resided at - Rt. ~1 Ho7t 191
$O~IBR$ST
(City)
tBNTpCLY
(Stan)
However 1 have dhan~ad my domicile
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since nth day of
w~~tt __ , 19_4, and 1 reside at 19x0 No. 4'~f~- sty
(Street and Number)
FORT r1ERCE, 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 Fbrida.
(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.)
Residence
181693
FILED AND RECORRED~
ST. LUCIE COUNTY. FLAN
RECORD VERIFIED
'69 QUG I I PM 2:58
~~~~
ROGER i/OITRAS
CLERK CIRCUIT COURT:
1 FURTHER CERTIFY that 1 will comply with all other requirements of a legal resident of this State.
1 FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
ALV~ DANIffi11 !HUNCH
(Name)
~ 1910 No• 47th. St.
~'.~ ~ ~ ~ ~ . (Address)
~,,~.;: ~ ~ P t. Pierce , P la. 33450
- : •. ,.
• ` .~5worn to end subscribed before me this 11th day of •uttnst , 19~L.
= .,1 ' ~
,~,~T Notary Public
4. • '
gy D.C. My Commission expires
(Te bo oxocvhd in dvplicato and original filed with Clerk Cirwk Court, and duplicate with Tax AsaaorJ
E~~~ ~ ~~
110. 13
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