HomeMy WebLinkAbout1724Declaratiol7 of Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. IUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Floride that I am filing this day in acoordanoa and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
lfestbrook
1 was formerly a legal resident of
(City)
(State)
and I resided at - ChitteIIden Hill _, However I have changed my domicile
(Street and Number)
to and sm and have been a bona fide resident of the State of Florida since Aug • ~ day of
19 69, and I reside at 2209 Florida Ave.
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
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.)
Placing children in public school
Sue and John Gesner
FILED AND RECORDED'
ST, t_UCIE COUNTY. PLA.
FECORD VERIFIED
is23ss
'69 A!!G 28 _PM 2:45
c
~~0 ~ EP.:-OITRAS
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 domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
(Name) a M Gesner
(Address)
28 August 69
Sworn to artd.wbsq~ed before me this day of , 19
ROa~ ,POITRAi ~-
CLERK•fiRCIJIT C~IR'~:~:, `, ' Notary Public
g _ -- ~,;. Y? ~a ')r D.C. My Commission expires
(To be executie{•irr diiplisato and original filed with Clerk Cirwit Court, and dupliate with Tax Asae~or.)
No. 13
guol<179 ~~
Conn.