HomeMy WebLinkAbout2275Declaration of Domicile and Citisenlzhip
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. U1GIE COUNTY, FLORIDA:
182"?'32
This is my declaration of Domicile and Citizenship in the State of Floride that I am filing ihi~~ay~in aooordana and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of Grand Rapids ~£chiaan
(City) (Stab)
and 1 resided at 1841 Porter Street $ W However 1 have charged my domicile
(Street and Number)
ro and am and have been a bona fide resident of the Stab of Florida since
6th
day of
Septe>.ber 69 601 Sea~aq Drive Causewaq Trl park
19 , and I reside at
(Street and Number)
FORT MERCE, SAINT LUCIE COUNTY, RORiDA
and this statement is to be taken as my dedaration of citizenship, actual legal residence and domicile in the Stab of Honda.
(insert here any pertinent facts, such as sate of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Entering Dean in the 11th grade
a r~ Darya in the 7th grade
182`7'32
FILED AND RECORDED'
ST. LUCIE COUNTY, FLA.
R=CORD VERIFIFO
'69 SEP 8 PH I :O~d,,,,~
RO:,~ER ~ OITRAS
CLERK CIRCUIT COURT
I FURTHER CERTIFY that I will comply with all other requirements of a legal resident of this Stab.
1 FURTHER CERTIFY that i have no intention to return to my former domiGie, and 1 inbnd to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
Y
~~t;1t1i1:~rtrt ~%j j.
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`ti: .ter •J,~'_7~',~'1'~l ~:~ ~
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fJ•' gj~y~~~•'O ~' ~ -
_ t7 ~ _ _ e
~'•'' C ~ . , v~td'~and subsuibed before me this ~
(Dame)
Gordon R. Ghegne
(Address)
8~h of September , 19 69
ROGER iPOIITRAS
CIRCiIR COURT
By o-~C. _7pJ~ D.C.
Notary f~ublic
My Commiss'ron expires
Ro bo oxowbd in duplicab and oriRiaal filed with Cleric Grant Court, and duplicab with Tax Aseaaor.)
~. ,3 aI~K1?9 X2273