HomeMy WebLinkAbout0923Declaration of Doll'1'licile and Cltlzenship
TO THE STATE AND COUNTY TAX ASSESSOR, 1Q1~5
51. LlJGIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the Stats of Florida that I am filing this dsy in accordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a legal resident of Peoria _ 11~ -
(City) (State)
and 1 resided at . 1536 ~eerii ~Te• __~__. Howaver I have changed my domiule
(Street and Number)
ro and am and have been a bona fide resident of the State of Florida since Z3tti day of
1A1~__ 19 69, and I reside at lZ~ Hia:lea~.,.a Pt`Piercee Pia.
(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, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
RBNa I,ANBii. s~-ttsrra s
ROBERT ARTHUR SALi~l'TB 7
PERRY ISHAN SALtB1'TB S
-~8-i`r85
FIl.EO AND RECORDED
ST, LUCIE COUNTy~ FAA.
HEC(?af; V=RIFIEU
'ss auc i 3 ~ ,o : i 9
l) `~ ~ R r7O~~ati:~(,l.~i
CLERK CIRCUIT COURT
1 FURTHER CERTIFY that 1 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, SAINT LUCIE COUNTY, FLORIDA, permanently.
.- -• ` = .: ~, _ 1ttS . TANA $Ai,LBT'PB
. ; . (Name)
. ~ _- _ ZxX 11S Hialesh St. , Pt. Pierce
. . ~ '< r (Address) P for ida
.tip ••
"Sworn to and subscribed before me this L~-- day of Au~st , 19 69.
RO~iER PORRAS
CIRCUR COURT Notary Public
gy ti- ~ e'"'' D.C. My Commission expires
Ro bo executed in duplicate and original Bled witls Clerk Circuit Court, and duplicate with Tax Aaeaor.)
-k. i a
,~-~ ~~x ~
600K ~~ ~A6f
D08 Z9 Sept 63
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