HomeMy WebLinkAbout1197 188686
Deciaratio~ ot Domlcile and Cittsenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sj. LUGIE COUNTY, FLORIDA:
This is my declarotion of Domicile and Citizenship in the State of Florida mat 1 em filing this day in aooo~danos and
im m~formity with Chapter 222, Section 222.17. Florida Statutes.
I was fo~merly a legal resident of B~Y ~=t ~Ch•
(City) (State)
and 1 resided at _~99 Kuhl ROtd _ . Howevar 1 have changed my domicu~e
(Street and Numbe~)
ro and am a~d have been a bona fide resident of the State of Florida sinoe _ ~Sth day of
-OCtpbQ.~_- , 19~4, and I reside at _~316 A~?e. L
(Street and Number)
fORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actua) lega) residente and domicile in the State of Horids.
(Insert here any pertinent facts, such as sale of property or busineu, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, ett.)
Ho~estead
i
F~LEO AND RECORDEO
ST. L~~~E eOUNTY F~A,
E:E C~ar~ R~~-i~C
. ,
'TO ~ j8~8~
~A~~ 22 AI~1 I t: I I
r.0,7R~S
_ ~~ERK CiRCUIT COURT-
i.
I
_
~ I FURTHER CERTIFY that 1 will oomply with all other requirements of a(e~al resident of this State.
I FURTHER CERTIFY that I have no intention to retum to my former domi4le, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~ ~
ROBBRT ,JBNYINS
;~c~,::,. ' (i~lame)
;~ti`i~V _ ~ - ~
, . . ~ (J~~ J;~
~ ~i7[ 4316 A~e. 1C. , Pt. P.
- ~ ~ .~t,-= G;
~ ~ - (Addf@SS)
~ ~ ~~G, '.a.' , k~~~`' i)
(:7•''N;~
i~'.~ ~~i}~'~,~
.>~y~?~nft '~~iil3scribed before me tfiis 22nd day of sanuar9 19 70.
. - .
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.
` `'r ~ _ ~i~ ~~-s ~~F
RO~ER`_yOnllAS
C CUIT C URT Notary Public
~
By D.G. My Commiuian expires
(To b~ ~t~d in dupliesh snd ori~nal fil~d whh q~rk Grcuif Cou~t, snd dupfieat~ with Tax Ax~ssor.)
aooK1.~~ PAGE1195
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