HomeMy WebLinkAbout1564Declaration of Dol~iciie antl Citizenship 18'60
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. IUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in aaordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of HauDDaU>Te I~r TSl-~UnT.N.Y.
(City) (State)
and I resided at 201 Kings Highwap However 1 have changed my domicile
(Street and Number) '
to and am and have been a bona fide resident of the State of Florida since 10th ~ day of
LL¢LQt 19~~, and I reside at
(Street and Number
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
~,
and this statement is to be taken as my declaration of citizenship, a:tua) legal residence and domicile in the State of Florida.
(Insert here any pertinent facts, such as sale of property or busineu, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
(School Children)
John Eric - 3rd Grade
Toanne Marie - ls# Grade
FILEO ANO RECORDED
ST. LUCIE COUNTY. FLA:
RFCORi VE~ R~~~IFIEO
'69 AUG 25 PN ~ : OT
~~~
;~C JyIZ ~'UITRAS
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 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
Mrs Carole L plough
~: .~ :.. (Name)
.~.. ~ -
~ i ~~%,
;~
- ~ ' 4~54~,~T~ai `~~ac ie
• ,.`• %'' 7 - (Address)
. : ~ r.~:
-:
•'% All¢t]3t
~~',;••~•~:SvjSorn to and subscribed before me this 25th day of . 19-~•
F.G:. ~OlTRAS
Ct~.cK CIRCUIT COURT Notary Public
gy D.C. My Commiuion expires
S(IOK ~ , V ~'A6f ~~ '
(To be executcd in duplicate and orisinal filod with Clerk Circuit Court, and duplicate with Tax Assessor.)