HomeMy WebLinkAbout2064 Declaration ot Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FLORIDA:
-
This is my decla~ation of Domicile and Citize~ship in ths State of Florida that 1 am filing this day in acoordance and
in confo?mity with Chapte~ 222, Section 222.17, Flo~ida Statutea.
I was formerly a legal resider~t of Redding ~lI9S8.
(City) (State)
and 1 resided at _ 5? SCOttID911 Roed
. However 1 have chanyed my domicile
EStrest and Number)
b and am and have been a bona fide resident of the State of Florida since ~llgu8~ day of
_ ,~q 69 , and i resids at 509 Send~e Drive
(Street and Number)
FORT MERCE, SAINT tUCIE COUNTY, RORIDA
and this stateme~t is to be taken as my declarotion of citizenship, actua! legal residence and domicile in the State of Horida.
(Inurt here any pertinent fads, such as sale of property or busineu, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
~
- Filing for homeste~d e=emption
. ~~p~ANO~RE@~~ .
` ST.a~coRO vER~Eo
19146~
'TO ~ Zy}pM 1 : 0~
n~~
~ ~iOGER F017RA5
~ ~~ERK ~1RCUIT COUR'[~
C
I RJRTHER CEftTIFY that 1 will oomply with all other rsquiraments of a lepal resident of thi: State.
I FURTHER CERTIFY that I have no intention to return to my forme~ domicjle, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
~ ~
(Name)Barba~'a ~ I Clerk
•_~r~-r ~
,
: ;:~~~tttit~rr~rj~ ~~ti
`l~>>~` ~t;?~f:~;,AS;-r+~~~~i;=~_-~~ (Address)
-\~~;:3~~ , p~ ~.~='t;'_::
- G ,
' •s-= .
_ _-r. ..:r c~t+~ ~1•
'~J'• 'c.'1.r~s~'-~ ~ ~':F-
_ Y G.~ 24 Merch 70
, ' ~:~~r~` 3 ~ubscribed before me this day of , 19 .
=.~A ~ ' i•~ .s; j~
; ~,c . ~~rA'r:' ` r
?r .y 1~;,~.^~/•
~ 1 ~ ~
I. ~ ~
~j ~ ~
I
=`l~ri'°~1`~~ COURT Nota Public
!i.~,~,~ . • t'~ ry
r•
By ~ ~.C. My Commission expires
(To b~ ~x~euhd in dupliuta and a~i~inal Hl~d whh C1~ek qrwk Court, and duplieN~ wHh Tau As~ssor.)
eooK1~ Pncc~~2
No 13 _
. . . _ . . _ _ . _ . _ . - -
-
~s. Sy ~ . . _ . y
~h~q,~'.~'
'-~L'~~O'~ ~ "..r ~ ~:,~Y A.,~
~ pa» ..E s- 'i. ~ ~'"r` : .c ,a ; -r
"rg 3' ~~`~-3r~ra~ ~.r~^,
Y. . s_ _ . . . '~~z.~~'~`~~