HomeMy WebLinkAbout2841 ~
_ ~
t
Declaration ot Domicile and Citizenship ;
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. lUC1E COUNTY, FLORIDA: '
;
This is my decla~ation of Domicife and Citizenship in the State of Florida that I am filing this day in acoordance and ~
in conformity with Chapte~ 222, Section 222.17, Flo~ida Statutes.
Tenn t
I was formerly a legal ~esident of ____.~~1"~~~~_-------- - ;
(City) (Stab)
Route 3 -
and 1 resided at - Howeve~ 1 have changed my domiCilc ~
' (Street and Number) . 1
!
to and am and have been a bona fide resident of the State of Ftorida since A~~' 2g day of
, 19
69 , and I reside at 4941 Ol@eride2' Ave21u@ ~
(Street and Number)
i
fORT PIERCE, SAINT lUC1E COUNTY, FLORIDA
and this statement is to be take~ as my declarotion of citizenship, actual legal residence and domicile in the State of Horida.
(Inseri here any pertinent fads, such as sale of property or business, or relinquishment of employment i
at former domicile, removal of famiiy to new domicile, purchase of home, etc.)
Establiahing residency and placing child in echool...
Daniel Foa
FILED ANQ RECORDEO
ST. ~UC'.E COU"3TY. F~Q.
f`~~ZC~ V~R~-'cD
, 1gl~]g~ '
; '69 DEC 30 PM 3: 21 `
, .
I :.~,1;.;~;= ~~Qt'tZ~s ~
~ ~LERK CSf2CUtT COURT :
~ ~
~
!
t
G
cg
i
~
~ I FURTHER CERTIFlf that 1 will comply with al) other requiremenss of a legal resident of this State.
~
~ 1 FURTHER CERTIFY that 1 have no intention to return to my former domicjle, and I intend to remain in FORT !
~ ~
~ PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~
~
~ ~ ~
~ ,
~ (Name) 6@ O]C ~
~
~
_ , h (Address) s
. :
_ ~
~ . .
~ " 30 December ~ 69
~y ,~SWOrn.to end subscribed before me this day of , 19 .
~
'
f - . , .
= : ROOER POITRAS
~ ~ ~ - ~I~Rf(
~IRCUIT COURT Notary Public !
' ~ ~ ~
~ gy D.C. My Commission expires _ ~
,
~ ~
;
~ , .
Ro b~ ~xecvted in dupliuro snd oriainal filsd with Cl~rlc Circuit Court, and dupliuN with Tax Ass~swr.)
~ OR ~
~ ~ aoo~~8~ ~284~. -
~ ~
~ _ ~
` ; , , ~ ~
~
_ ~ _z._~~_.