HomeMy WebLinkAbout0126 Declaratio~ ot Dorr~iCile and Citizenship 1`~.;
~,V f;
TO THE STATE AND COUNTY TAX ASSESSOR,
51. IUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing tfiis ilay in accordante and
~n conformity with Chapter ~22, Section 222.17, Florida Statutes.
I was formerly a legal reside~t of _ MYrtle_Beach _ So._Caroiina _
(C;ty) (State)
and 1 resided at 3910 CAOlcliv Di1Vt However 1 have changed my domiCile ;
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since lst _ day of
January 70 8001 So Ind River Drive
- - . . ~ 9 =.~.a~!_resi P ~t -
(Street a~d Number)
fORT PIERCE, SAINT LUCIE COUNTY, FIORIDA
and this statement is 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 relinquishment of employment
at forme~ domicile, removal of family to new domicile, purchase of home, ett.)
Establishing residence:
Bntering pamella K. in the 2nd grade F~LED AND RECORDED
ST. LUCI~ COUNTY, FLA.
:~~r~~r~ ~~r?;~f~.C
Cynthia Ann in the 2st ~rade lg`7~~~i
F
' '10 JAl~ 5 AM II: 07 ~
4 ~'h~~~
; ~~Iir~.:~
; CLERK ~iRCUIT COURT
~
~
~
~ 1 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
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
~ . _ : ~ . y? .
~ .
(Name)
~ - John N. Partridge Jr.
-
.,1 • r •
~ (Address)
~
^ .r•~ ~
~ . . , ~ -
~ Sworn to and subscribed before me this Sth day of January . 19 70
~
~ ROGER POITRAS
~ K CIRCUIT COURT Notary Public
~ ~-~C~-C~
gy D.C. My Commission expires
~
~
~
- (To bs sxscuted in duplicate and originsl filed with Clerk Grcuit Courf, and duplicsts with Tax Ass~ssor.)
sooK 1~~ ~~~E
~ ~ R
No. 13
r _ > `
~•s. _ - ° _ '
. . . . . . . _ _ - . _