HomeMy WebLinkAbout2483Declaratioln of Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
ST. IUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in aonordanoa and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a legal resident of lranavi 11 a Ohio `:
(City) (Sta»)
and 1 resided at ~ 284 B • Henley Road However I have changed my domidle
(Street and Number)
b and am and have been a bona fide resident of the State of Florida since Sept • 9 day of
i9 69 , and I reside at Rt. 4 Boa 9970 -Hanley Road
(Sheet and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement ~ be taken as my declaraYwn of citizenship, actual legal residence and domicile in the Sta» 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.)
>tszas~iuit Placing children in public school
Vicki and Freddie Carver
0~0~.
WOK
fl ANC R NTY. FLp.
ST`L CDE ~ VERIFIED
~• 6
• 9 SEP ~2 ~
6 °+r
^ ~ER~ COURt
CLERK CIRCVI~
1 FURTHER CERTIFY that I will comply with all other requirements of a legal resident of this Sta».
1 FURTHER CERTIFY that I have no intention to return to my former domidle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
t Sworn to and subscribed before me this ~ 2
,v, D.C.
(Address)
tic,. t a
(Name) Fred Z. Carver
day of September - ~q 69
Notary Public
My Commission expires
~' *'in duplicate and original filed with Clerk Circuit Court, and duplica» with Tax Aseasaor.)
..: y.%:SaS~ ~ .
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