HomeMy WebLinkAbout1703Declaration of Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR, 1~~~51
Sl. LUCIE COUNTY, FLORIDA: ~-tia~
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in aooordanoa and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a legal resident of ~ Les--~.ag.les -atifnrnia
(City) (State)
and I resided at 3920 B~ 56th St=pPt - _. However I have dhanged my domidle
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since 29th day of
July t9 69 ~ and 1 reside at 1502 Seaway Drive
(Street and Number)
FORT NERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual Icgal residence and domicile in the State of Florida.
(Insert here any pertinent facts, such as sate of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Ftt_EO AND RECORDED
:~Y. t_UCIE COUNTY, FLA.
CSchooi Children) ~~' ~ ^~ .'~ R1= ~`,:
82351
William Karl - 12th Grade
Karen Marie - 8th Grade
^I_Ef?K c:~eul~ COURT
I RIRTHER 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.
Mrs. Isabe~~pll~~a ~B. Spath s
.,i;i.,""'r~,. ~7 ISO, y ~ - -
~::: : ; ;'-'; (Name)
--
-- ~~, ~ ~ - ~, !:~ 1502 Searva~ Drive
'' %.. ~wdt(t~to and subscribed before me this 28th day of August , 19~LQ.
ROGER tFO1TRA5
CIRCUIT COURT
ey D.C.
Notary Public
My Commission expires
(To tise executed in duplicate and original filed with Cleric Cirarit Court, aed duplicate with Tax Assessor.)
8~1'l~ ~'~Ctl
No. 13
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