HomeMy WebLinkAbout2498 ~ Declaration ot Domicile and Citisenshlp
is~ezs
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. IUCIE ~OUNTY, FIORIDA:
This is my declaration of Uomicile and ~itize~ship in the State of Florida that I am filing this day in actordance and
in conformity with Chapter 222, Section 242.17, Florida Statutes.
i
I was formerly a iec,~al resident of 1~812'086 _ _ M888 • _ ,
(Ci~) ~?atQ~ ~
t~
i
t
and 1 res+ded at 2? Pebble R08d ~„„ever 1 have changed my domiGle ~
(St~eet and Number)
to and am and have bee~ a bona fide resident of the State of Florida since lOth day of
December ~9 304 Bay Street
, 19 , and I reside at
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, HORIDA
and this statement is to be taken as my declaration of citizenship, attual 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.)
Establishing residence -
F?LEO AND RECOROED'
ST. LUCIE COUNTY. FLA.~
`~~C~ZD V~~frIFD
18g62~ `
_ _ '70 FEB I0 P~ !2: 53
-
~•~~•~'t' ?~IIt~..:S
CLERK CIRC~~~ COURT~
,I ~
I FURTHER CERTIFY that 1 will comply with al) other requirements of a legal resident of thia Siate.
I FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT
PIERCE, SA~N~~IrW~I,E~ COUNTY, FLORIDA, permanently.
. . , .s• ~ lr~~`~`- ^ n
' - _ - (Name)
_ ' - ~ . ' Christine McCarthy
, • -
, - , . , - (Add ress)
r ; • .
Sworn to and subscribed betore me this 1Qth day of Feb ~~q 70
.
ROGER PORRAS
K CIRCUIT OURT Notary Pubiic
B D.C. My Commission expires
(To b~ exercuted in dupliute and original filsd with Cleric Grcuit Cour1, and dupliut~ with Tax Ass~s~or.)
BOOK~82 ~~~494
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