HomeMy WebLinkAbout1808Declaration of Domicile and Citizenship ,l~
TO THE STATE AND COUNTY TAX ASSESSOR,
S1. IUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in aooordance and
in conformity with Chapter 222, Section 222.17, Florids Statutes.
I was formerly a legal resident of SOUthDOrt North Carolina
(City) (State)
and I resided at Long Beach, BOx 160 However I have changed my domicile
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since 30th day of
August 19.42_, and I reside at 3602 S. U.S. #1 Thrift - T- Apts.
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence end 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.)
CSchool Children)
Dan McCarty
/QonaLO
P~ Steven - 12th Grade
Gerald Wayne - 10th Grade
Dan McCarty Annex
Vickie Yolanda - 9th Grade
White City Blettientry
Bdward Phillip - 3rd Grade
Tony Mittheii - 2nd Grade
FILED ANO RECOR0~0 ~ .
ST.R~COR[~ VERIFIEOLA. -
182432
'69 SEP 2 AM 10:45
y,~'~
kOsER r OITRAS
CLERK CIRCUIT COURT:
1 FURTHER CERTIFY that I wilt 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 domicile, and I intend to remain in FORT
PIER~E, SAINT LUCIE COUNTY, FLORIDA, permanently.
- - ~~ ~ ~;. ~ s. Charles L Sides
. t~:~~~ltllt~tit:lry=~ •
•~ ~ ,......,,: • O ~''i' (Name)
v •~~• '
..
• y `'" ' "~` ~ ~ °' ~~' _ 3602 S U.3. #1 Thrift - T -Apts.
~:
- `.' •~` (Address)
~'~TS&- ''.,ta~ead~>~ before me this 2*+~ day of SeptpIDh * , 19._6.4.
...•~,.
.:=~
'' RO~iER POITRAS
CLERK CIRCUIT COURT
ey D.C.
Notary Public
My Commission expires
(To be execrrhd in duplicate and o~~ filed with Cleric Circuit Court, and duplicate with Tax AsNSaor.)
tb. 13
4
800K 1 ~9 P,ICf~~Q~' - _---