HomeMy WebLinkAbout0313 ~ Deciaration ot Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FLORIOA:
This is my declaration of ~omicile and Citizenship in the State of Florida that I am filinc~ this day in accordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of Cleveland ~h10
- -
~C;ty~ (State)
21631 Pryday Are . However I have chan ed m domiCile
and 1 resided at - 9 Y
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since _7th day of
DeCembei_ ~q_ 69 and I reside at _ Rt _2 BOx 3769 Lakewood Park
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
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_facts, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Establishin~ residence and applying for homestead -
18 .:3~34
, FILED AND RECORDED'
_ _ C ST. LUCtE COU''=TY, FLA.
;~=~~:~r.~ t: _a~~~~~
.~--.y.~~,,,Y-.~.
_ '70 J!!~! 7 AM 10 : 2 0
:~~~k :S
~ CLEP.K ~,iR~~tT 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 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
~ • ' ~ '
.
~ . (Name) -
~ Frank ll~ Beyerle
~ • ~ (Address) '
~ ~ -
~ ' ~ . a
~ Sworn to and subscribed before me this ?th day of Januar ~~q '70, ?
~ `
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ROGER POITRAS ~
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4~ C K CIRCUIT URT Notary Public ;
;
~ gy D.C. My Commission expires ~
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~ (To be executed in duplicate and original filed with Clark Circuit Court, and duplicate wit6 Tsx Ass~stor.)
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aooK ~82 ~~E 311
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