HomeMy WebLinkAbout2305Declaration of Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Si. lUC1E COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in accordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of Indianapolis.
(City)
Indiana
(State)
and 1 resided at 1250 Wet3t County Line Road However 1 have changed my domie3le
(Street and Number)
ro and am and have been a bona fide resident of the State of Florida since September 8 day of
19 6~, and I reside at Rnnal palms Motel -Room 12
(Street and Number)
1717 So. II. S. #1
FORT MoecE, s~uNT LUCIE cou1~IT~r, aowow
and this statement is to be taken as my declaration of citizenship, actual legal residence and domiale in the State of Florida.
(Insert here any pertinent fads, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Johnny, ffiark, Tammy, Sells
FILED ANO RECORDED
ST. LUCIE COUNTY. FLA.
RFCOR!? VERIFlFD
182'~'S3
'69 SEP 9 AM 10:
FOuF'. r01TR%+S
CLERK IRCUIT COURT
1 FURTHER CERTIFY that I will comply with all other requirements of a legal resident of this State.
a
1 FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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sy
Notary Public
D.C. Ally Commission expires
(To Iro executed in duplkato and original filed with perk Cirarit Court, and dupliuto with Tax Asseseora
ho._ ~.s
Ma e) ffielva Sells
(Address)
before me this 4th day of September ~ Iq 6~„
~111~'9 ~