HomeMy WebLinkAbout0114 Declaration of Domicile and Citizenship
TO THE STATE AN~ COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FIORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in acco~dance and
in conformity with Chapter 222, Section 222_i7, Florida Statutes.
I was formerly a(ega) resident of GUilfOrd _ COTIII. _
(C;y) (State)
~
" / f
and I resided at 54 ShOiC Dr. However I have changed my domitile ~
' (Street and Number)
i
to and am and have been a bona fide resident of the State of Flo~ida since lst day of
_ . Apr~i _ 38oa i
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement '~s to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida. ;
,
(Insert here any pertinent fads, such as sale of property or business, or reli~quishment of employment
at former domicile, remova) of family to new domicile, purchase of home, etc.)
(Homestead Bxemption)
FILED AND RECORDED`
ST. LUCIE COUNTY. FLA. ~
F.f~ C~'~?: `lE~i~I~D
. 1 c;~; S2;~
'70 JAN 5 ~+I 10: 9
i i
.:.~1G:=R :O;TR~S :
CIERK CiRCUIT COURT` ~
I
~
. i
I FURTHER CERTIFY that 1 will comply with al) other requirements of a legal resident of this State.
i
~
I FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT ;
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. f
Gharles Austin Sisson
~ `
~t.~. Q „
~ ~ - ~ • ~ (Name)
~
~ .
~
~ . 38u4 Ave. I
- (Address)
~ . ~'•I .
~ • '
~ Swo~n to and subscribed before me this Sth day of .j~ uarY , 19 7O•
~
~ ROGER POITRAS .
~ C IRCUIT COURT Natary Public
F~
~ gy ~ D.C. My Commission expires
~
~
~
~ '
r4j (To bs exxuted in dupliuts and originsl filed with Clerk Grcuit Court, and dupliuts wifl~ Tax Ass~s~or.) ;
~ ° k 1~2 PAGE 114 ~
~=i BOOK s
- n?~. ! a