HomeMy WebLinkAbout2986Declaration of Domicile and Citise~ship
-183,2'4
TO THE STATE AND COUNTY TAX ASSESSOR,
Si . LUCIE COUNTY. FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in aeoordanas and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of Bpdferd Pennsvlvan+a
(City) (State)
and 1 resided at - •~N _. However 1 have changed my domicile
(Street and Number)
z
ro and am and have been a bona fide resident of the State of Florida since 18th day of
Sept , i9~. and 1 reside at Dixie Trai]! r Parr #t2
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FtORIOA
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 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.)
Bntesing tro children in school
FILEO AND RECORDED
ST. LUCIE COUNTY. FLA.
RFC4R'l VERIFIED
1832'74
'69 SEP 22 AM IQ : 17
~~
t:OGcP. ~OtTR:.S
CLERK CiRCU1T COURT
I FURTHER CERTIFY that 1 will comply with all other requirements of a legal resident of this State.
1 FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
(Name) ~oE>t ]fth/s
Joan Eicher
gy - O.C. My Commission expires
~a `= ; : - -:' ,,~ - (Address)
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;r . ~. .
` - Seat , ~q 69
' -•Swom to and subscribed before me this 22 day of
:;.;, c~~ COURT Notary Public
(To bs sxseuted in duplicats and ori~nal filed with Cleric Cirwit Court, and duplicate with Tax Assessor.)
~. ,3 soaK~.79 ~~E2984
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