HomeMy WebLinkAbout2393 Declaration ot Domicile and Cttizenship
70 THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FLORIbA: '
This is my declarotion of Domicile and Citizenship in tha State of Flo~ida that 1 am filing this day in actorda~ce and
in confo~mity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of ~ta~ A18b8IDB
(Ciy) (State)
and I resided at Rt. 3 BOZ 5 However I have changed my domicjle
(Street and Numi~er)
to and am and have been a bona fide resider.t of the State of Florida since ~ 6 th day of
Febz'usr'y ,~9?~, and I reside at 1815 S. 31th St.
(Street s~d Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my deelaration 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.)
(School Children)
FILED AND RECORDED ~
ST. LUCIE COUNTY, FLa.
Joe Danny - 12th Grade ~~::~^~t~~ vER~~!~~
189536
; '70 FE8 9 PM Z: 50 .
~
~ ;e~.._ ~~o~ F R::s
CL~'RK ~;Ri,l:tT COURT
I FURTHER C'ERTIFY that I will comply with all other requirements of a lega) resident of this State.
1 FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. Ste118 R. Stephens ~MT3 dOhII C. ~
(Name)
1815 S. 31th St. ~
,~~1'•c;'~''r~~r
~ . ' ~ ; ; ' •T ~~<<. (Address)
.a.•_3~(~ t -
~ a~ `''nM, •~q~ ~~i~ • - -
?f/
~T_~~~`..d. •y;}~~~' ~ s.~
=~s~.''~~~!: 5worn~to:ar~suburibed before me this ~th day of February , ~q~.
_ .
-/+ii -1
_ ~ k.~ ~-~~i
K + . .`f_
d
~ ` ~ , : ~ ~
r~" ~ . ~StIR COUR Notary Public
,
~ ~..~L; l '
By D.C. My Commission expires
(To be ex~cuted in dupliut* snd ori~inal Rla! witb Gerlc Circuit Court, and duplicat~ with Tax As~eswr.)
BOOK18z ~~z38s
a.~' No. !3 _ . . ~
X.
~ _ . '
, : ~ _.s _
--,.v_ , _ ~