HomeMy WebLinkAbout1753Declaration of Domicile and Citizenship lb~~i
TO THE STATE ANO COUNTY TAX ASSESSOR,
Sl. lUC1E COUNTY, FLORIDA:
This is my declaration of Domicile aril Citizenship in the State of Florida that I am filing this day in acoordanoe and
in oonformiry with Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a legal resident of Crngevilic Alab era
(City) (State)
and 1 resided at Rt 2 _. Howevef 1 have changed my domiale
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since 12th day of
July 19.9, and I reside at South 39th iltreet
(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 Honda.
pnsert 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.)
Bntering children in
FILEO AND RECORDED
Schools 1. LUCIE COUNTY, FLA.
;` rD~'n ~'~RIFIEO
18x2391
'i;9 ~I~r Z9 AM 10:4
S~~
CLERK CIRCUIT COURT
1 FURTHER CERTIFY that 1 will comply with all other requirements of a legal resident of this State.
I FURTHER CERTIFY that 1 have no intention to return to my former domicile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
~ ..
~~~~~~
(Name)1Hrs~Curtia Gibbs
(Violet)
~n Rp.r wg *ren Loa~+a
(Address) $09 Azailia
••;, :",` S~cfrn-;f~-~nd subscribed before me this 29th day of August , 19~.Q.
- ~ ' ~_ ~~ ~.,.,~.'~~~R'~1~lT COURT Notary Public
.~ ~:; .-
~~'~ ~~ ' D.C. My Commission expires
(To ibe executed in duplicate and original filed with Clerk CirwN Court, and duplicate with Tax Asseawr.)
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BOOK~79 ~~751