HomeMy WebLinkAbout2254Declaration of Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR, 1~'7l5
51. IUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in accordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of
Naah~ille
(City)
and 1 resided at 1034 Jaaperaoe Drive
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since
Tenn
(Sts»)
However 1 have dnangsd my domiGle
let
September 69 320 A Noth 15th street
19 , and I reside at
(Street and Number)
f~ORT MERCE, SAINT lUC1E COUNTY, RORIDA
day of
and this statements to be taken as my declaratwn 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.)
Bntering.Bsuce Alien Roberts in the 9th grade
FILED AND RECORDED
ST. IUCIE COUNT~YKFLA.
4i~_~nan ~ . R1 D
182"?'15
'69 SE? 8 AM I t: 2 9
ROGER i~01 t.S
CLERK CIRCUIT COURT
I FURTHER CERTIFY that I will comply with all other requirement: of a legal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domicile, and 1 intend to remain in FORT
PIERCE,,.S/~~NT LUCIE COUNTY, FLORIDA, permanently.
•-~
• ,
. . a ::
-~ ::
(Address)
• ~ i "Pt~ti~ ~,`
• ~ • `'`'~~ ~~~ ~~ 8th Se tember , t9~LQ.
Siworn to and subsuibed before me this day of p
ROGER PORRAS
cueculT~ouleT
By °-y'E-~ ~~ o.c.
~ ~
( rr1Q)
Marilyn Helton (!-~lra Robert
Notsry Public
My Commiss'wn expires
(Te be executed in dupticaN and original filed with Cierlc Cirwit Court, and duplicate with Tax Aeaeaeor
No. ~.~ OVV11~~ ~~~
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