HomeMy WebLinkAbout1521 !
Declaration ot Domicile and Citisenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Si. WCIE COUNTY, FIORI~A: ~
i
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in aocordance and ~
in rnnformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of St. P~tersburg Florida
(City) (State)
875 54th Avenue, No. ,
and I resided at - However I have changed my domitile ~
(Street and Number) ~
~
~
to and am and have been a bona fide ~esident of the State of Florida since j[g~_ day of `
~
t
, 19~L~, and I ~eside at 2207 BSTbBZ'8 Avenue
(Street and Number)
FORT PIERCE, SAIN? tUCIE COUNTY, RORI~A
and this statement is to be taken as my declaration ~f citizenship, actual legal residence and domicile in the State of Horida.
(Insert here any pertinent facts, such as sale of property or business, or reli~quishment of employment
at former domicile, removal of family to ~ew domicile, purchase of home, etc.) ~
Filing for homestead egemption .
F~~E~ tiND RECORDED
~T• ~~CIE ~pUNTY, FLA.
s. ~ ..188 RI=1rC
8~0
; ~7~ 2g 9: 08.
k
~ ~
L
i ~ t` :~Oi;P,AS~
~ ~~~~'K ~~~~U~T COURT
I FURTHER CERTIFY that 1 wil) comply with all other requirements of a legal resident of thia State.
i FURTHER CERTIFY that I have no intention to return to my former domicile, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
- ~ ~j
v
~ ame) uglas Graham
~
~
~ (Address)
~ .
~
~ Svirom b and°si~~rsuibed before me this 28 day of J~u~y , 19 70
~ . : .t, ,
~ R~GER PQlT - ~ .
~ i~J1?S:. - . .
~ ~ ~~lRT Notary Public
•~K.
.
~ " -
~ By D.C. My Commission expires
~ •
~ Ro b~ ~xecut~d in dupliwro and ori~inal fil~d with q~rk Urwit Cour~, ~nd duplicat~ with Tax Ats~swr.)
~ s°oox 1~z PacF~5~9 ~
~ No. 13
~ A:
_ _
~ - ,
. ~i~r~. -s, . _ '~,~h