HomeMy WebLinkAbout1699 ~
Declaration ot Domicile and Citize~ship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. IUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in atcordance and ~
in conformity with Chapter 222, Section 222.17, Florida Statutes. {
I was formarly a legal resident of Weston _ _ Ontario _
~ ~C~ty~ (State)
7 Tampa TerraC! , However I have chan m domiG~e ;
and I resided at ~ ~ Y
(Street and Number)
to and am and have been a bona fide ~esident of the State of Ftorida since _ NOr • 1 day of
58U9 So. Ind. kiver Drive
, 19~_, and I reside at ~
(Street a~d Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citize~ship, actual legal residence and domicile in the State of Horida. ~
(Insert here any pertinent facts, such as sale of property or business, or relinguishment of employment ~
at former domicile, removal of family to new domicile, purchase of home, etc.)
Bstablishing residency ~
FILEO ANO REGORDED' {
ST. ~UCIE COUNTY. FLA. ~
~~CORQ VERI~l~p '
186~`~~3 '
'69 DEC 1 Q pM 2: 5 g ~
~
- ~OL=~ f~01TRAS i
j CLERK CIRCUIT COURT'
I - ~ .
~
! ~
I FURTHER CERTIFY that I wil) oomply with al) other requirements of a lega) resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domic~le, and I intend to remain in fORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently_ ,
~
(Name) irlary LuC Sehiit
~
~ ~
(Address) ~
~ '
~ Swom to and subscribed before me this =S 10 day of December , 19~4.
I . ~ ;
~ • . ~
. . ~ JlOtbER POItRAS, _ ~
~ ~
ttERK CIRCUIT Ct~URT Notary Public ;
~r
~ . : s
~ gy • . D.C. My Commission expires `
~ - _ _~.•.I,IN~•
~ . .
~ Ro' b~ .~xewt~d in dupliuts and orisinal filsd witl~ CIKIc GmrN Court, snd duplicat~ with Tax Ast~ssor.)
~a~ a R 181 ~16~9
~ 800K
~ No. 13 _
- ~ ~ _ - .fi#
. _y~,..~~e,.m~?'. _ . _ . _ . . . :'^.i.r.1~~