HomeMy WebLinkAbout2418Declaration of Domicile and .Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this dsy in accordance and
in conformity with Chapter 222, Section 222.17, Florids Statutes.
f was formerly a legal resident of
Thosas~ille
(ia .
(City)
(Ste»)
boa
and I resided at ~~ Gribbin Street However I have changed my domicile
(Street and Number)
b and am and have been a bona fide resident of the State of Florida since Actg. 21 day of
t9 69 ,and 1 reside at 2402 NO. 49th Street
(Street and Number)
FORT PIERCE, SAINT tUC1E COUNTY, RORIDA
and this statement is b 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, a relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
placing son in public school t George W. Cannon,II)
FILED AND RECORDED'
` ST. LUCIE COUNTY. FLA,
RECORG VERIFIED
-18284'7
'69 SEP I I AM 11:32
ROGER R01 RAS
CLERK CIRCUIT COURT?
1 FURTHER CERTIFY that I will comply with all other requirements of a legal resident of this State.
I FURTHER CERTIFY that 1 have no intention b return to my former domicile, and I intend to remain in FORT
PIERCE, Sl,INT LUCIE COUNTY, FLORIDA, permanently.
~.
mss'
°'; ~`~ •~ _ ~ wbsuibed before me this
..aT-,
~~a1cu1T cou11T
gy .. ~ ,
~~~~~
(Name) Laurie Lee Cannon
(Address)
11th day of September ~q 69 .
Notary Public
D.C. My Commission expires
Re be exearhd in duplicate and original filed with Cleric Ctrwit Court, and duplicate with Tax Aaaeaer.)
,~. „ gooK179 ~~2416
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