HomeMy WebLinkAbout2581Declatratioln of Domicile and Citizenship
182992
TO THE STATE AND COUNTY TAX ASSESSOR,
ST. IUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the Stste of Florida that I am filing this day in accordance and
in confomnity with Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a legal resident of
aaatoaia
(City)
North Carolina
(Stab)
and I resided at 145 Minget Circle However I have changed my domidle
(Street and Number) a
band am and have been a bona fide resident of the State of Florida since
lath
day of
Septe>ber 69 ?10 South 2nd street
19 ,and 1 reside at
(Street and Number)
i;ortT MERCE, SAINT LuCiE COUNTY, RORIDA
and this statement is to be taken as my declaratwn of citizenship, actual legal residence and domicile in the State of Honda.
pnsert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family b new domidle, purchase of home, etc.)
Entering Robert in the Sth grade
182:992
FILED AND RECORDED
ST. LUCIE COUNTY. FLA.
R= t`t11?D VERIFIED
'69 SFP I S Abi 8:30
~~
~?O~~~P. r01TRAS
CLERK CIRCUIT COURT
1 FURTHER CERTIFY that 1 will comply with al) other requirements of a legal resident of this State.
1 FURTHER CERTIFY that I have no intention b return to my former domiGle, and i intend to remain in FORT
~UCIE COUNTY, FLORIDA, permanently.
PIERCE
SAINT
,
,
<i~~t t~~tttlrj{lilt
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~
~
~~~ Gr,, i :
.~ ~ ~,
T• ~ (Name)
~' ~-~ - - ~~~~ A: - John D. Lunaford
-• 1~ _ -`fir ~e
,k
r~,~~:.::::.•• .-
'`~~ 15th
..Swo~~fo and subscribed before me this
ROGER . rO1TRAS
CIRCUIT COURT
My Commission expires
Re fbe exewted in dupliuN end original filed whit Clark Cir+arit Court. and dupliate wish Tax Aseeseor.)
aoolc 179 X2579
(Address)
day of September t9 69
Notary Public
Ma. 13