HomeMy WebLinkAbout2290 + Deciaration ot Domicile and Cltizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FIORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 em fili~g this day in sooordance and
in rnnformity with Chapte~ 222, Section 222.17, Flo~ida St~tutes.
I was formarly a legal resident of Richfield Park . New Jersey .
(City) (State)
and 1 resided at 90 U2110A P18Ce ~Wever I have chanqad my domitile
(Street and Number)
ro and am and have been a bona fide ~esident of_th~.$T~ta_of florida sinoe.- 24th ~Y_Q~
_ A~il ~q 6~nd I reside at ?6~ LomBS St. Rv. Perk
(Street a~d Number)
FORT PIERCE, SI?INT LUCIE COUNTY, RORIDA
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 pertinent fatts, such as sale of property or busineu, or relinqui:hment of employment
at former domicile, removal of family to new domicila, purchase of home, etc.)
~
Esteblishing residence and applying fnr,homesteed
- x y . :
_ ~ ~
~ RILEO ANO RECORDED
ST. LUCIE COUNTY. FLA.
NE:CQRO VERIFIEO
191615
'10 MAR 30 pN 3:05
ROGE~ POITRA
CLEltK CIRCUIT COURT:
i
E •
E I FURTHER CERTIFY that I will aomply with all other requiremenis of a lepal resldsnt of this State.
~
~
E 1. FURTfltR CERTIFY that I have no intention to retum to my former domicjle, and I intend to ~emain in FORT
I ' z
~ PIERCE~,. ~ ~,~~R~1iY, FLORIDA, pe~manently.
~ ~ , ~?r~ . . - .
~ ,
~ _ ~J/~~ ~//~'J~'/
l ~~~tF ? !1 ~a/Ti l.~ ~ ~+i'i_VV
r ; M ~ ~l ~~„t~~;~~I~ f
~ ~ .
~ ; = ~ ~ 4t~ , ~ ` Clar e ~ldi~ler ( Mrs Fred )
~ = , ` t s ' ~ _ -
> ~ _i'~~_il . .
~ ,~~il ~ `3's~.. f• ~
~ :}?~,;Tji
: ; ~5::- G4ddress)
t ~ ~-.;`fi :r •i~;~.
c J ",t+.~?
# Sworn to and subscribed before me this 30th day of 1~arch ~ 19 70
;
F
~ ROGER POiTRAS
z
~ CIRCUIT COURT Notary Public
~ BY D.C. My ~ommission expires
~
~
3
s
~
~ Ro 5~ ~x~euhd ie duplieat~ and oei~inal fitsd wifl~ Cl~rk q~ Court, and duplieal~ wiN~ Tax A~or.j
~ ~
` QOOK 1~~ PACE
~ No. ~3
~
_ _ _ _ . _ _
-~„a~~ > ,rr s lii+~'zr. , ~
"~`-~Y,,,rta.~~`~'k'«~~tt ~ ~ ~ I ' ~ ~ s ,~,"y ~
~ ~ ~ ~~T~
.s,,,~ a . ;~s
. - . . . . . . _ ~~'~'n. _ . `~-~T~`~ - . s . .