HomeMy WebLinkAbout2786Declaratioin of Domicile and Citizenship 18312~.~
TO THE STATE AND COUNTY TAX"ASSESSOR,
S1. IUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in accordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a legal resident of - -R1D-~+`etnda..- New JeregV __
(City) (State)
and I resided at __ ~ ? rvla]1a A~rPnue ~_._______. However I have changed my domidle
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since 7 6th day of
ETtember 19522, and I reside at 3001 SunrlBe Blvd.
(Street and Number)
FORT PIiI;RCE, 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 Florida.
(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.)
Entering children in school
FILED AND RECORDED
ST. LUCIE COUNTY. FLA.
1~312:~
'69 SEP 17 PM _ I : 2q
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 I have no intention to return to my former domicile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FIORIDA, permanently.
(Name) Zillion Foster
__-~~- ~ _
l' - - ~ (Address)
~••"•Swbrn to and ~(+bsuibed before me this L t'~. h -day of • Se~~ember_ , 19~
ROdER' ~PORRAS
CiIERK CIRCUR COURT Notary Public
By D.C. My Commission expires
(To lse executed in duplicate and original filed with Clerk Cirarit Court, and duplicate with Tax Astesaor.)
tic. 13
800K ~~ PA(~~ 1 ~~