HomeMy WebLinkAbout1767Declaration of Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sj. IUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and CtHzenahip hrthe~tate of Norida thet 1 am filing thi: day in accordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of
and 1 resided at Bx 136
Bsteile
(City)
(Street and Number)
ro and am and have been a bona fide resident of the State of Florida since
So Carolina
(State)
However 1 have changed my domidle
14th
day of
August 69 SOS North 21st street
19 and I reside at
(Street and Number)
FORT MERCE, SAINT LUCIE COUNTY, RORIOA
and this statement is to be taken as my declaraYwn of citizenship, actual legal residence and domicile in the State of Fforida.
(Insert here any pertinent fads, 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 Joe in the 5th grade
~Ii.ED AND RECORDED'
ST. LUCIE CDUNTY. FLA.'
RECORi) VERIFIED
1824Q4
'69 AUG 29 PM 12:25
~~
ZOGER ~OITRaS
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 I have no intention to return to my former domiCjle, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
.~ D ~ o
(Name)
. ~omplhbcc John Henry ,iron
(Address) .~~,;:~~~~i,,,~a~_
Sworn to and subsuibed before me this 2 8~6y of ~~~,~:r„-r,:tfl.:r.~-9
ROdER POITRAS
CLERK CIRCUIT COURT
By
- =. ~-, Li
~.
to hublit =~ ~ ~'•~. _ .. -'~' s
Natan P~lic, SiatE~ol ~op~1~t~` -
D.C. My Commissia~~~~ • ~~
3-3t`'~2
Nc. 13
(To be executed in duplicate and original filed with Cleelc Cirwk Court, and dupliate with Tax Asaesaor.)
aonK1l9 ~~~1~5
~r~-~ z~.~ _.