HomeMy WebLinkAbout0668 i
Declaratio~ ot Domicile and Cittse~ship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FIORIDA:
This is my declaration of Domicile and Citizenship i~ the State of Florida that I am fili~g this day in actordsnca and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of __~~~~a- ~ . N. C. _
(City) (State)
Freeland , N. C.
and I resided at _ However I have changed my domicjle
(Street and Number)
to and am and havs been a bona fide resident of the State of Florida since llsar~h L_ day of
_ , 19
70 , and 1 reside at 319 Okeechobee Aoad
(Street a~d Number)
FORT PIERCE, SAIN? IUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citize~ship, actual legal reside~ce and domiciie in the 5tate of Florida.
(Inse~t here any pertinent facts, such as sale of property or business, or r lirsquishment of employmeni
at former domicile, removai of family to new domicile, purchase ot home, etc.) ,
Barhara, Prisailla. ?reasa Babson
FILEO AND RECORDED
ST. LUCIE CJUNTY. FLA.
i?:. ~0?7 1/~t=1FI~D
~90432
~ f .
~ - 'Y~~ 4~`/ -
._E~ :~OiTt~.`,~
; CI.~RK ,^,:f~CUI i COURT;
!
I
~
~
~
~
~
~
~ 1 FURTHER CHtTIFY that I will comply with all other requirements of a legal resident of thia State.
I FURTHEit CERTIFY that 1 have no intention to retu~n to my former domicale, and I intend to remain in FORT ~
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~
-~9-~- i
~ (Name) ~ndella Babson (
~
~
~
~ (Address)
r -
~ ~a•iT:i~~ . '
ts~ t
~ St~orrt ~,•,~y~ .s,~bscribed before me this day of u~ , 19~g..
` = r rf
~ ' l ~ t j ; ' yf' ~
:y~ ` 'R04~~0lTRA~ ~
v: - ~tJlt.:~'~OtIRT Notary Public .
-,~~F:---'~:
: . _ 1--.. . ~
3 - '~,~~3•. - S
z_ 8y,, ~ D.C. My Commission expires
S*-• I,
~z; ~/',1
~ : ?
~ ~_;:::1 ~ ~ tl • , i
~ ' ~ t
1To bs ~xecuted in duplicab and original fil~d with Cl~ric CircuFt Court, ~nd dupliah with Tax Ass~s~or.) ~
~ ~ (
~s 80iRM ,
~ tia. 13
~ : - ~
~ - - I -N~
-
F_...~_r_ _ - _ ~ . . ~.,._.i~~