HomeMy WebLinkAbout1219 Deciaration ot Oomicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. lUC1E COUNTY, FIORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in aooordanoe and
im m~formity with Chapte? 222, Section 222.17. Florida Statutes.
1 was formerly a legal resident of Daisy TeIIII.
(City) (State)
and I resided at ^ 1T6 Bu2'II8 StT68t ~„„ever i have changed my domi~ile
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since J~11Lr31 19 day of
, 19 70 , and I reside at 1902-A DelBwaz'e AvB.
(Street and Number)
FORT PIERCE, SAINT IUCIE ~OUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Horida.
(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, etc.)
Danr~y Edward 3lmpson
;
RECOR~E~.
D AN~ FLA'
. 51L` C~E C vU ~T~~~D
R~:C~~~ g~~6
1$ PM 2 : 3y
'i0 JAN 22 `
p SRt?S
'~~~'C
RCUIT COVRZ-
~~ERK
I FURTHER CERTIFY that I wil) comply with all other requirementt of a leyal resident of thia State.
1 FURTHER CERTIFY that I have no intention to return to my former domitile, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
~
(Name) Paul E SimpsoII
. (Address)
Sworn to and suburibed before me this 22 day of J~~r~i 19~_.
.
,~,~,t:tlHrNf~~
::~~'.CI~WC'.C4f~titl~ COURT Notary Public
~ '
; ~y ' , D.C. My Commission expires
~ ~ ~f::~; ~
-
!~;~Fr(fq,.bi~~~oiilid in dupliut~ and oriyinal fil~d whh q~ek G~wk CouM, and dvplicat~ wiTh Tax A~assor.~
i. - T•• f
~/f t~ r . ! '
~~i•~~ ~ . ~ ~ .
~ ~o. , 3 . . B~x s~~~r
q_`t" ~ . . . . . ' . . . . . _ _ ',f„° ~
~y• ,
y,"`e.S'r....vu~'F"~. _ . ~ , X"_ . . _c. ~