HomeMy WebLinkAbout1937 1
Oecla~atlon ot Domicile u~d Citizenship
i
TO THE STATE AND COUNIY TAX ASSESSOR,
Sl. LUCIE COUNTY, FLORIDA:
This is my declarotion of Domicile and Citizenship in the State of Florida that 1 am filing this day in accordance ar?d
in conformity with Chapter 222, Section 222.17, Flo~ida Statutes.
I was formerly a legal resident of ~ldwood N. J. _
Kityj (State)
109 Eaat 22nd Avenue
and 1 resided at _ _ However 1 hsve changed my domicile
(Street and Number)
to and am and have been a bona fide resident of ihe State of Florida since ~u8t 10 day of
- , 19
69 , and I reside at 101 No. 39th 3treet
(Street and Number)
FORT PIERCE, SAINT WCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Horida.
(Insert here any pertir~ent 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.)
Homeatead Ezemption
~ '~P~LE~ ANO RCCbRQf.B~„
ST. IUCtE COUNTY, FL~.:
RECORD VERIFtEO
~ ~ ~9136 i
'~0 MAR 23 PM :2T
---6~
ROGER ~ ITfiAS
CLERK CIRCUIT C0~!!6~
I
I
E
I '
1 FURTHER CERTIFY that 1 will comply with all other requirements of a(eya) resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domidle, and I intend to remain in FORT
PIERCE, SAINT LUCIE ~OUNTY, FLORI~A, permanently.
~ ~
~
(Name) 1[ari e ~ Hand
~ (Address)
s;;:~f;,;~~ ,
` - - ~i,~ ~ .
~-~~~'-~t;~Ct~%~~~1~. _
y~~,~,~~~~~gy~d subscribed before me this day of 1(erch , 19~_~
3• •~7 : 0.
' " . .}!S.~ •.4 .
" , - ~ • . [.1S .
~ ;r : ~Q~ ° ~
~ ~~~~r_ . CQV Notary Public
g''•''~ .Kr~` - D.C. M Commission expires
Y Y
(To b~ ~x~cvhd in dupliut~ and ori~inal fil~d with Cl~rk Circuk Cou~t, •nd dupliut~ with Tax Aa~stor.)
~ g~K 1~3 ~ ~~3~-
~ t~lo. i 3 ,
_ _ ~
~r
~.ac. ~ _ , _,...3..... . . . . . . . _ _ .