HomeMy WebLinkAbout0343 Deciaration ot Dor~icile and Cittsenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl, IUCIE COUNTY, FLORIDA: ~
This is my declaration of Oomicile and Citizenship in the State of Florida that I am filing this day in accordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a legal resident of _ gPArta _ ll~cltigan _
(City) (Stab)
~
and I resided at ~10 Viaton Aveaue _ Ficwever I have changed my domicile
(Street and Number)
r
. to and am and have been a bona fide resident of the State of Florida since Feb- 1~ day of
- - T~ - ,
- _ , 19 and I reside at 2302 Sunri se Blvd. Aut . 2Q1
(Street and.Number)
FORT P!~RCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in tF?e State of Flo~ida.
(Insert here any pertinent fads, such as sale of property or business, or relinquishment of employment • ?
~
at former domicile, removal of family to new domicile, purchase of home, etc.)
f
Estab2iahing residency
~
. - - _ F~i
EO ~;:D-3EC~~
~
_ ~ - - -
~.T. L:%C1E ~ ~Ut,.'
~ 902~
` ,
ZS P~?1 t • 48
FE~ o~
--c~~'
_ :.~~~-:.;.5 RT ~
~
; ,r,LFi'<K C~RCJ?j ~Cu
~
~ ~
~ ~
~ ~
~
~ I FURTHER CERTIFY that I will comply with all other requiremenfa of a les,~al resident of thia State.
j _ . _ . _
.
- - - - - - - - -
~ I FURTHER CERTIFY that I have no intention to retur~ to my former domicGle, and I i~tend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORt~A, permanentl~r.
~ G-r~~ ~ ~i~Ts~~-s~
~ (Name) Barbara F. Norton
~
~
~ -
_
z (Address)
~ •
Swom to and subxribed before me this day of , 19~(~
~ - .
' ,ti ~ ` . ' .
~ `~l'-~~ ~~w ¦ r~ ;
. - -
~ ~_'~t~;;~ `Cl,f~tK•~UIT-,iFOURT Notary Public
~ - - -,`-y~_
~ By'°:. ~ ' Y ~ : . D.C. My Commission expires
•y - .
:.n ~
~ - '`}r 1 -
' - ~I'\si
ryg t~ "
¦
~ ~fe ~i ~tuNd~ in dupliuts snd ori~insl fitsd with Cltrlc Circuit Court, and dupliut~ with Tax Ass~ssor.)
~
~ a~ 1~3 34~
~ v~. ,3
-
J _ " - - .~~4
¢ ~
~ n~ Y~. . - ~ _ . . . . . - . _ . ..n ~ •a'~.~"'~,F!Z