HomeMy WebLinkAbout1773Declaration of Domicile and Cltlzenship 18240;
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FLORIDA:
This is my dedarotion of Domicile and Citizenship in the State of Florida that 1 am filing this day in socordanos and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of Mount Holly New Jersey
(City) (State)
and I resided at 1805 4th ve _. However I have changed my domidle
(Street and Number)
b and am and have been a bona fide resident of the State of Florida since 29th day of
June ~ 19 69 ~ and I reside at 715 Citrus Ave.
(Street and Number)
FOitT r1ERCE, 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.
(Insert here any pertinent fads, such as sale of propery or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
(School Children)
Sharon Teresa - 5th Grade
Shelly Tracy
Richard At1ey
- 3rd Grade
- 1st Grade
FILED AND RECORDED
ST,t`LUCIE COUNTY FLA.
CppC `~ERIFtFD
1~24Qg
'69 ~~~~ 29 PM ~ : 43
CLERK C;RC(,'IT COURT
1 FURTHER CERTIFY that I 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 ormer domicile, and I in nd to rerpain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~~ `_-'/"/(~
Robert Jane Bissell
(Name)
X15 Citrus Ave.
(Address)
Sworn to and subscribed before me this 29th day of _ August , 19~_.
ROGER PORRAS
CLERK CIRCUIT COURT
ey
D.C.
Qo be executed in duplicate and ori~nal filed
lio. 13
li;>~Aurt, and duplicate with Tax Assessor.)
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~ X179 ~~771
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o .'~ ~~ Q T• ~ ~;~~ ~-. Not PuDE1ft11S s. JN, NOT11R7r [~LIC
_ ~ ' 4~ ~' " - ~ ~= F~ Osbbrr 1R 1970
_ -+' q CorrtMhsion expir
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