HomeMy WebLinkAbout2560 Declaration ot Domicife a~d Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this d~y in actordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a legal resident of _____x~s**itiZ3~x Hyatts~ilie ~d. _
~C;ty~ (State)
2221 Sheridao StreEt . However I have chan ed m domiCi~e '
and 1 resided at ~ - - - - - 9 Y
(Street and Numbe~)
b and am and have been a bona fide ~esident of the State of Florida since _NOVeObcl[__24 day of
,~q~9__, and I reside a~ 775 Sandia Dri~e (Ri~er park)
Ft Yierce, Fla ~treet and Number)
FORT PIERCE, SAINT Lll~IE COUNTY, RORIDA
1
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Horida. ~
(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.)
~sstab2i~hing residency and filing for homestead exemption
FILEO AND RECOR~Ep: ~
ST. ~UCIE COUNTY. FLp,
~~E~=n~~' V~RIFI~D
18`~4~
j
'69 DEC 23 QM ~ ~ y
~G~~
~ f:0:.;~f? I'OITR~s
' CLERK CIRCUIT COURT~ ~
~
;
I FURTHER CERTIFY that I will comply with all other requirements of a legal resident of this State.
~
I FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT
i
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. i
;
~
( me) Har q/~l Hymat~ i
(Address) '
i
Swor~ to and subscribed before me this 2."~-.day of ~cember ~ 19 69 ~
_
• ~
. ;
ROGER PO1TiSA5
CLERK CIRCUIT, COURT Notary Public .
gy D.C. My Commission expires
. ~
(to~ bi~.euc'~cvrod in dupliute snd ori~ina! ~iled wifh Cl~eic Grcuit Cour~, and duplicst~ with Tsx Ass~or.) E
!
800K ~~1 PAC[ ~S~O t
n~ , s
~ _ - -
_ - I' - ' <
_ . . - - _ ~.r_._~ t..-~