HomeMy WebLinkAbout1787Declaration of Domicile and citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
ST. LUCIE COUNTY, FlOR10A:
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in aooordanoe and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a legal resident of 1~1eZCed
and 1 resided at ~~~
(City)
(Street and Number)
Cal.
(State)
However 1 have changed my domicile
to and am and have been a bona fide resident of the State of Florida since ~~ day of
19~~, and I reside at 3221 South Dixie HiahwaY
(Street and Number)
FORT MERCE, 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 Florida.
(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
Robin Marie Donna Prances Ibach
FfI.ED ANp RECORD
ST, LUCIE COUNTY,
RECORD VERIF1Ep
1~~-ts
's9 auc 29 H 3:32
ROSE-- ~~
CLERK n ~'0" SAS
CIRCUIT COURT;
I RIRTHER CERTIFY that I will comply with all other requirements of a legal resident of this State.
1 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.
:~. ti5 ~•r ,, t-
r~ _;. ~ s ~t~it~j~~al~scribed before me this
st
:J Y._
::?al~cutt couRT
i'. __
(Name) Psggie Ibach
(Address)
29
Notary Public
By ~,~ ~-~ ~~ ~' ~-hL~ c.[/ - D.C. My Commission expires
Qo be execvNd in duplicate and original filed with Clerk Circuit Court, and duplicate with Tax Ate.)
BUUK 1 / ~ ~-~E 1785
~. ,~
--
~_~~,
day of August lq 69