HomeMy WebLinkAbout0345 Declaration ot Domicile and Citisenship
TO THE STATE AND ~OUNTY TAX ASSESSOR, !
51. LUCIE COUNTY, FLORIDA:
This is my declaration of Oomicile and Citizenship in the State of Florida that I am filing this day in accordsnce and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
'
I was formeriy a legal resident of PIATTSBIIRG NEW YORR
~ (City) (State)
and I resided at ___~'e _ 8 Cumber1811d $e~d However 1 have changed my domiti~e
(Street and Number)
to and am and have been a bona fide resident of the State of Florida s~nce 4th day of
_ _.~J_111y__-_ , 19 and I reside at Rt 1 BO]c 493
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actuat legal residence and domitile in the State of Florida.
I
(Insert here any pertinent fads, such as sale of property or business, or relinquishment of employment {
i
at former ~omicile, removal of family to new domici!e, purchase of heme, etc.) i
Establishing resddence and applyfng for homestead
~Fr~EG t.N[) P~CUi~GED !
_ - L~~" : i:U.,T~ ~ ~
• i
_ ~ ~ -
190259
,
r~ 25 ~~i 1: 3 t
y~
;~;,a.,,
i . , . ' ~ :t~~~IT C~IJn 1 -
f
~
~
~
i
~
[
~
F.
S
~ 1 FURTHER Cf~tTIFY that 1 will oomply with all other requirements of a leyal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT
PIERCE,`54~~,Rt1CiE C~UNTY, FLORIDA, permanently.
.~t' - - 6 ~
. ``y~ .-~~~,i . s. ~ ~
~ ; :
j:~~.:.:..~.~~ ~
~ ; ..i.~:. •,r.i _ ~ ~ ~
~ ~ _ I' ' =~Y +s Cindy Carino { Mrs Frenklin)
~ y w s
- ' ; . ~ t,~
_ (Address)
r: ~ y vC, •,La-.-_.- -
.
~
~ r,,,, .iZ '
~ A Sw~r?rto and subscribed before me this ~5 day of ~ Feb , 19 70
~
~
~ ROGER POITRAS
~F CLERK CIRCUIT COURT Notary Public
~ i
~ 8y ~e~~ D.C. My Commission expires
~ ~
~
~ (To be oxecuted in dupliwt~ and ori~inal filed wFth Cl~ic Urwit Court, and duplicat~ whh Tax Ass~ssor.)
~
- BOOK
~ ° R 1S3 PAGE 345
~S No. 13 .
~ "
~ - - - = - :w'~~
~ -
f ' -
:
; ; , - .
~ ~ ' ~
z _ v . . e _ _rt_