HomeMy WebLinkAbout0014 Declaration ot oon~icii~ aw t~ii~~~ . 1~ :`91
~
TO THE STATE AND GOUNTY TAX A,SSES.SOR,
ST. LUCIE COUNTY, FLORIDA: J
This is my declaration of Dom~cile and Gtinenship in the Stane a~ ~Fkr;di 4~ w am ~iiim~ dws ~ is a~moes~e~a~ and
in oonfo~mity with Chapter 224. Section 222.17, Fbr~ 5~1u1es.
1 was formerly a legal ~esident of ~rtL a~ T-
iGity) - ~
and 1 resided at 107 Breatwood Rd. ~ ~~e~ ~r ~
tSRr~eeR ard t~k,mber~ -
to and am and have been a bona fide residern of the S~afe af ~lorida si~ ds~t af
~
April , 19~ aJ~,~side an fz l~nte i~ ~
}
, :
FORT NdtCE, SAINT LtJC1E COUNTY. Rr0lpw
and this statement is to be taken as my declaration arf citmerzsfiip, adwl ~yst ssi~ sa~i ~11~ ie~ tic Sia~c of Ei~orid~
(Insert here any ptrtinent fads, wdi as sale af ~ope+'1~r a~ b+a~i~, sdr ~q~i~ dF ~io~a~
at former domicile, removal of family to new dorniale. ~e s~ ~ e~
Hosestesd
~
ii~33 A1~Ii
~T_ i~~ L~
r n ~r~ ~cs~a
i~
i~~~i
f ~to ~ ~ ~ = ~ s
I
~ - r ~ . :
x.::,~
~
~
f
~
1 FURTFfER CHtTiFY that 1 will aompiy wifh afl aAher ~~f a~~~ie~ of tlk~ 9r~M~ ~
1 FURTHER CERTIFY that 1 have no intention ~ return ~ m~r ia~ntrer akrrnq~k, an~ B iir~e~ 1~s ~rraies i~a fqti
PIERCE. SAINT LUCIE COUNIY, FLORIDA, permanently_ -
$It.i.t~ Z.
. ~•~df
~
~ ~te ~ 119, l~t. l~erce, l~la.
~
. ~
~
~ ~(psfv~ sStkfscribed beforc me this ~d ~r af ?~a~~ _ _ , 19~_
• ~ • . e
~ ~a' , ' ' . i. ~
- - -
_ ~4 ~ ~
_ ; ~11~ ~fi'i~
- - : T~,'
. ~ f ~ ~ '
~ 8y ' r ' ~r~11~ ~ 1
• • {
~ _~.r . ~ ~
~
~ C? ~ • . . . . . ~ ~
~ F
~ (TO ~1! ~XlWIM~~ Md MiPw~ v~ ~ ~ Ti ~
~ ~~1~
,3 . - - - - ~
. . ~ .
~~Y__..._.. _