HomeMy WebLinkAbout0821 Oeclaration ot Domicile and Cittzenship
TO THE STATE AND COUNTY TAX ASSESSOR, g
ST. IUCIE COUNTY, FIORIDA:
This is my declaration of Oomicile and CtiZenship in the State of Florida that I am filinq this day in aooo~danos and
i~ oonformity with Chapter 222, Section 222.17, Florida Ststutes.
I was formerly a legal resident of B loomf ie ~d N• J•
(Cify) (State)
a~d 1 resided at 1RQ Bzldwead P~CC . However I have chan~ed my domidle
(Street and Numbe~)
b and am a~d have bee~ a bona fide ~esident of the State of Florida since lit ~y
October _ , ~q b~~ a~ ~ Rt o~1 ~ Bou ~1S Ft . Pi~rce ~ P~ a~
~ (Straet and Number)
I~ORT PIERCE, SAINT LUCIE tOUNTY, RORIDA - -
and this statement is to be taken as my declarotion of citizenship, actual legal residente and do~icile in the State of Horida.
pnse~t he~e any pertinent facts, such as sale of property or lwsineu, or relinquishment of employme~t
at former domicile, removal of family to new domicile, purchase of home, ett.)
GBORGE STBpHBN RAYSON, Jr• 6 yesrs of age
Bntering eh~id in achool.
FlL~D AND RECORDED'..
~ ST. LUCIE COUNTY. FLA.
RECOR[~ VERIFIED
183894 ~ .
~ - '69 OCT 6 A~i 11:08
ROGt=R i'OITRAS
Cl-ERK CIRCUIT COURT~
I FURTHER CERTIFY that 1 will camply with all other requiremsnts of a lepal residertt of this State.
I FURTHER CERTIFY that have no intention to retum to rr+y former domiCile, and I intend to remain in FORT
PIERCE, SAINT lUCIE COUNTY, FLORIDA, permanently.
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- me) . -
(1iss.) 4eorge~ Septhen Raysoa, Sr.
::;~:;,,j;r Rt_ ~i_ Bo= 31S -
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~r i~ . (Address)
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= ••-''J'~~.:~~o~~~. Pt. Pierce, Fls. 33430
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1
:~~n to snd ~u~a~ssd before me this 6th day of OCtObcr , 19 69 .
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•<~-'i: y t - : - ~ ~ - -
~~RT Notary Public
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By D.C. My Commiuion expires
(To b~ ~x~wbd in duplicat~ and oei~ind fil~d wilb Cl~ek Cirarif Courf, and duplial~ wifh Tax AsMaora
,3 ~ ~K180 ~ 819
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