HomeMy WebLinkAbout2091 i
a
Declaration ot Dornicile and Citize~ship ~
#
!
TO THE STATE AND COUNTY TAX ASSESSOR, `
~
S~. LUCIE COUNTY, FLORIDA: ~
This is my declaration of Domicile and Citizenship in the State of Flo~ida that 1 am filing this c3ay in accordance and
in conformity with Chapter 222, Section 222.17, Flo~ida Statutes.
1 was formerly a legal resident of - Bab~loll_ NeW YOY'k
(City) (State)
4? Pershing Avenue
and 1 resided at However 1 have changed my domicile
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since day of
, i9~64, and 1 reside at 508 SO. 15th Str~et
(Street and Number)
FORT PIERCE, SAINT LUCIE COtJNTY, PLORIDA
end this statement is to be taken as my declaration of citizenship, attual legal residence and domicile in the State of Flo~ida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, ourchase of home, etc.)
Filing for homestead eaemption
F~~EO
sr ~
c RE~oRDE~
pE ~~R~ vERjFY. F~a:
.70 19~ 4$3
~ 2S ,~y 9:
Zq
C~ Rp~F~ ~~.J
I FRK CJR~V~T COUR
~ tj
I~URTHER CERTIFY that I will comply with all other requirements of a lega) resident of this State.
I FURTHF_R CERTIFY that I have no intention to return to my former domiGle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
? ~s~n:~iLt~'
(Name) Andrew Brektser
~ ?
~ ~ f4.~
~ ~ ~ Fann~ Brektser ~
.
~ ''i~.'~o'~to;a~d~s.~bscribed before me this ~5 day of March 19 70
~ . • ~
~ ' c~~`;~~~u1~'Y~ _
w . •--~-':1~~- •
~ . y1 ~N:~.;.~~. ~ : l .
~Y
. ° ~ !
~ F~,~ ~1.3
~ ; ~~[R~~l~~~O T ~1 Notary Public ~
~ X sJ ' • / /
' 1 ,~1.
~ ~jl ' ~ `D.C. My ~ommission expires R
~ :i - / i
~ ~ . P :
~ ' ~~,~.s.,w..
~ ,_i . +t~~ ; .
~ I(To br
~ uted in dupliuts and o~~insl filed with Cl~rlc Cirwit Cour~, and duplicab witit T~x Ass~ssor.)
~ BOOK 1~ PACt ~0~9
- ~<o. 13
~ ~
~ r~ _ ' ~
~~~~°`~.~'r.3' r "fi . . 24? ~ y't'~.. ,
~ ~^s"!'~.,, > ~ 7'
k,~u,-~ . ' 9R"~.! ~?.'i~~
~ ,..~:i