HomeMy WebLinkAbout2203 ~eclaration ot Domicil• and Citisenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE ~OUNTY, FLORI~A:
This is my declaration of Oomicile and Citizenship in ths State of Flo~ida that 1 em filin~ this day in aooordanos and
in aonformity with Chapte~ 222, Section 222.17, Florida Stetutes.
I was formerly a legal resident of 1i8na~ S. C.
(Cty) is'a~)
and 1 resided at Zendrum C. .~wevsr I have chsnyad my domldle
(Street and Nu~nber) ;
t~ and am and have been a bona fide resident of the State of Florida sinoe Julp " day of
, 19~~, and 1 reside at eute 1 Ae=
(Street and Numbsr)
FORT rl~t~E, SAINT LUCIE COUNTY, RORfDA
and this statement is to be taken as my declaration of citizenship, actval legal residenae and domiale in the Stete of Horid~.
(Inse~t here any pertinent facts, such as sale of propery or business, or relinqu'ishment of employmen~ _
at former domicile, removal of family to new domicile, purchase of home, etc.)
Erneat William Sylveetsr entering publio eahool
,
FILED ANO RECORDED
~ ST. LUCIE COUNTY. FLA.
R~_r~r~•,^. V~'Rt~"'ED
. 184~55
~ '69 OCT 2 9 AI~1 10 : 5~
;
' i30:~E'?? ~•OITR~.S
k CLERK CIRCUIT COURT ~
~ ~
1 FURrtHER CfRTIFY that I witl oomply with sll other requirarnent~ of a Ispal resident of thls State.
. .
1 FURTHER CERTIFY that I have no intention to retum to my former domicjle, and 1 intend to remsin in FORT
PIHtCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
t~
(Name) Er eet 3ylveeter
~ _ ' ! } ( ~ ' ~~~j .
~
. ~ - ' (p1dC~~@!t)
. r~
Sworn toend wbsuibed before me this 29 day of OQt• r, 19
6~.
r
ROG~R POITRAS
CL~K CNtCUIT COURT Notary Public
8y ~.C. My Commiuion expires
(Te b~ ~x~aN~d in dupliu» and ori~nal Al~d witb ~ Ckwii! Cou~f, and dupNat~ wilh T~x As~o~J
~OOII P~E~~~
No. i 3 -
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