HomeMy WebLinkAbout1492Declaration of Domicile and Citizenship 182-~O1
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. IUCIE COUNTY, FIORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in accordance and
in rnnformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of
Manassas
(City)
SOS West r'loreland
and I resided at -_-
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since
Vir.,Qinia
(State)
However 1 have changed my domiGle
25th
day of
Jules , 192, and I reside at 125 Celestia Court
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORlDA
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 farts, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Entering 2 children in school
FILED AND RECORDED
ST. IUCIE COUNTY. FLA.
R~.CQR^ VERIFIED
18221
'69 AUG 2S PM !2: SSA''
_ - `~~ /
~~Q+,'~it ~OITR..S
CLERK CIRCUIT COURT
1 FURTHER CERTIFY that I 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, SAI,I~~,~LUCIE COUNTY, FLORIDA, permanently.
..1s.
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Sworn..to and subscribed before me this 25th
ROGER POITRAS
CIRCUIT COURT
By ~ D.C.
Notary Public
My Commission expires
(To be executed in dupliuN and original flied with Clerlt Grwit Court, and duplicate with Tax Assessor.)
eooK 179 ~~E149~
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T (Name)
Mrs Ronald Bowers ( BlizabethC
(Address)
day of August , lq~~.