HomeMy WebLinkAbout1462Declaration of Domicile and Citizenship 1821~'~'
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in aooordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of
Russville
(City)
Arkansas
(State)
and 1 resided at _ 2400 NO. Arkansas AvE ___ __. However 1 have changed my domidle
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since une 4 day of
19 69 ,and 1 reside at 2325 Okeechobee Road
(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 Horida.
(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.)
Gtt i i, Junior, Donald & Charles Yarborough
FLIED AND RECORDED
ST. LUCIE COU~~TY. F'LA.
E~ : 1821-~~0
'69 A~J~ 5 AM •
Rt7u •c i'OITRt~S
CEERK CIRCUIT COURt
1 FURTHER CERTIFY that I will comply with all other requirements of a legal resident of this State.
t 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.
L Z ~.e•-~
( ame) ggie Yarbo ugh
(Address)
s
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sy .
Sworn t+e,and subscribed before me this 25 day of August , 19 69.
R04ER::PAiTRAS
CiStK CMICUIT COURT Notary Public
D.C. My Commission expires
(To be executed in dupliuts and origins! filed with Cleric Circuit Court, and dupliuto with Tax Asesaor.)
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