HomeMy WebLinkAbout0712 Deciaration ot Domicile and Citizenship
~
r
TO THE STATE AND ~OUNTY TAX ASSESSOR,
SI. LUqE COUNTY, FIORIDA:
This is my declaration of Oomicile and Cifizenship jn the State of Florida that 1 am filing this day in ecoo~danoe ar?d
in oo~formity with Cfiapte~ Z22, Section 222.17, Fto~ida Statutes.
1 was to~merly a legal residsnt of Burlington Conn.
(City) (StaTe)
~H~ MOriC Z Rd . . However 1 have chanyed my domidle
(St~eet and Number)
to and am and have been a bana fide resident of tha State of Florida since 22nd day of ;
~
, ~
Au~uust , t9~., and i reside at 120 Solaz Ave. Port St. Zucie ~
(Sheet snd Number) ~
FORT MERC'F, SAINT LUCIE COUNTY, RORiDA ~
and this statement is to be taken as my declaration of citizenship, actual legal residenoer and domicile in the Slab of Horida.
(Insert here any pertinent facts, such as sale of property or business, o~ relinquiahment of amployment
ai former domicile, removal of family to new domicile, purchase of home, etc.) ~
~
E
. i
i
(Homestead 35=emption)
~ILED AND RECORDED ~
ST. LUCt~ COUt:TY, FL,A,
^r?~n tirF~~F~EU
~8829~'
'?0 J?!'~ t~I A(y 9; 56
:
-~J1TR;~~ '
CLERK CIRCUIT COURT
I i
I FURTHER CHtTIFY that 1 wilf aomply with all other requlremerth of a lepal resldent of this State. ~
~
; I FURTHER CERTIFY that 1 have no intention to retum to my former domicjle, and 1 intend to remain in FORT
F
~ PIERCE, SAINT IUCIE COUNTY, FIORIDA, permanently. V3TgiIIiB Elsie FillriemOTe
~
~ -
r (Name)
120 Solaz Ave. Port St. Lucie
i
= (Address)
. . ~ . ~'«t '
- . , ~ , _
- _ Syvorn td~•~n~ aubscribed before me this 14 th day ~ JsnuSry 19 70
. .
• : .
. t,' I /t~ ti~ ~
• l;~ ~ ~
_ ~ 'ClRCUR COURT Notary Public }
~
~Y D.C. My Commission expires ;
~
(To b~ uc~cvf~d in duplicah and orioinQal R with Court, ~nd dupliah with Tax A~or.)
600K1V~+ PAGE~~
rJo. , 9 - - -
~ ,
s~
-3`~~ ~ ~ . s-_'; _ . , f ~ :ti