HomeMy WebLinkAbout0758 Declaration ot Domicils and Citizenship 1g3852
~
TO THE STATE AND COUNTY TAX ASSESSOR, ~
Sj. IUCIE COUNTY, FLORIDA: `
This is my declarotion of Domicile and Citizenship in the State af Florida that 1 am filirs9 this day in aooordanoe and
in aonformiy with Chapter 222, SFxtion 222.17, Florida Statutes.
I was formerly a legal resident of $t . LOL3d NO.
(~ity) (~ab)
and I resided a~53 Clayridge Drive ,~,Ne„e~ ~ have chan~sd my domidle
(Straet and Number) ~
to and am and have been a bona fide resident of the Stste of Florida sinae 29th day of
September , ~qb9 , and i r~tde a1 119 LakeNurst Port St_ Lucie
~ (Straet and Number)
fORT MERCB, SAINT LUClE COUNTY, RORfDA '
and this statement is to be taken as my declarotion of citizenship, actual lega{ residanoe and domidle in the State of Florids. .
(Insert here any pe~tinent facts, such as sale of property or busineu, or relinquishment of erteployme~t
at former domicile, removal of fsmily to new domicile, purchase of Fwrt~e, atc.) ' ~
~ Bntering Rober~ Allea in the lst grade ~
F~~~D AND RECOROE[f'.
ST. LUCIE COUN?Y. FLA.
~FCO 18~52
~
'69 OCt 3 Al~1 ~ z ~
- -
~ RpCER ~017RAS - i
, , CLERK CIRCUIT COtlRT~ ~
I
f
~
I
f • ~
~ ~ .
~
1 FURTHER CgtTIFY fhst I will oomply with all other requirement: of a lepal rosident of this State.
~ ,
I fURTHER CERTIFY that 1 have no intentwn to retum to my former domicjte, and 1 intend to remain in FORT `
PIERCE, SAINT LUC~E COUNTY, FLORIDA, permanently.
~
, •
. ~ _ . . _ ~
, (Name)
. _ ; ' Jonice B. ~1cCastill ( ~lra Baacom
~ - , ~ _ , - .
~ f _ . . , _ , (/~ddress)
- . ~;`-v
~~~'i~ro'tn~~to'-and siibsuibed before me this 3rd day ~ OCtobet ~ ~q 69.
. . ~
ROG~ POtTRAS
CptCUR OURT " Notary Public
~~e,~ ~
By O.C. My Commiuion expires
(To b~ ~c~cul~d in dvpliesh and ori~in~ fil~d wilh CIKk ~iraiil Caret, and dup{kab wHb Tax At~es~ora
~ ~
~ , 3 aooK 1~ v~c~ . .
_ - - - - ~ .
~ a ~ :
. _