HomeMy WebLinkAbout2507Declaration of Domicile and Citi:enship 123
TO THE STATE AND COUNTY TAX ASSESSOR,
ST. 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, Florida Statutes.
I was formerly a legal resident of Stn Saba Tex~e
(City) (State)
and 1 resided at - Star ROUte Bp7~ S1A However 1 have changed my domidle
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since 2~d day of
An~ret 19 69 , and 1 reside at 2605 Tarpon Court
(Street and Number)
FORT MERLE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Honda.
(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.)
Watering Tt~to Children in school
FI>_Ep AND RECORDD
ST. LUCIE COUNTY.
;:c CCpn ~FRIF'FD
1823
'69 SAP 12 PM !2 ~ 06
i~0:=:~ i`QITRMS
CLERK CIRCUIT COURT
I 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 to return to my former domicjle, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
(Name) Mrs. bby Dodd
(Nita)
(~-ddress)
~~ ~~ ~ Sentemb _r
Sworn gybed before me this 12 th day of , 199
~ ~. ~
,~• OJT ~~..~~~(,'~,;
. ~- :.
~¢s~Rl~~~t[itsiws
..
4QbR~ Notary Public
_ . . '_. .H 1. Z ~.
By ' ' `* ~ O.C. My Commission expires
.;
• . ~.~
Re ~~ ... is ;. ~.>~licate and original filed with C{Klc Cirwit Court, and duplicate with Tax At~sesaor.)
$~i?9 ~~~
~. „