HomeMy WebLinkAbout0802 Declaratio~ ot Domicile and Citize~ship
TO THE STATE AND COUNTY TAX ASSESSOR,
3
Sl. IUCIE COUNTY, FLORIDA: ~
i
. ~
This is my declaration of Oomicile and Citizenship in the State of Florida that I am filing this day in accordance and ;
~
~n conformity with Chapter 222, Section 222.17, Florida Statutes. ~
1 was formerly a legal resident of - YO~~._$tOwri _ OhiO _ #
(C;ty) (State)
and I ~esided at ___-______'~~~,~LSS1ldlewOOd I,srie However I have changed my domiGle
(Street and Number)
to a~d am and have been a bona fide resident of the State of Florida since _ ` 28th day of
AF7C~----_-- . 19?~ , and I reside at 1608 Bi~lney Dr.
(Street and Number)
FORT PIERCE, SAINT LllCIE COUNTY, F~LORI~A
and ihis statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida. ~
(Insert here any pertinent 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.)
(School Children)
:
5
X~Z~H `
Gina Maria Serman - 9th Grade ST.LL C E COU TY. FLA. i
?~~.cc~Rr, vFAl~~~e 3
Paul Serman 7th Grade ~
192`73~ i
~ '?0 APR 29 A~1 10:29 ~
I '
~ ~7~
;
~ ~•o~~r ~ oir~:,s '
CLERK CIRCUIT COURT~
~
~
I FURTHER CERTIFY that I will comply with al) other requirementa of a legal resident of this State.
1 FURTHER CERTIFY that 1 have no intention to return to my former domicjle, and I intend to remain in FORT
~ PIERCE, SAINT LUCIE COUNN, FLORIDA, permanently. Alltle B. Serman ?
~ '
~ i
~ 3
~ (Name) ~
;a ~
~ ~
~
~ ~
~s (Address)
~ ;.~irrir,l~, ~
,
. ~
~ = ' ~3"~s,~~~ _ - - - - - _ _ 19~Q. ~
~ "5YV0~'t~afi~ subscribed before me this ~~th day of April , ~
~ ~ : f ~':',t i
~ ~ ~ `..~.w ~ ~
_ : :
~ „ ; . . s;..
, . . ~iTfAS -
~ ~ ' = ~ _ - - ry - .
~ RCt~T~tOU - Note ~ublic
f' • ~
~ By'• ~ ~ D.C. My Commission expires
'•".r:~t ~
~ •z,.
~ ~r :
(To be sxecuted in duptieste snd ori~in~l ~ilsd whh Cl~rlc Cirwit Court, and duplicat~ with T~x Ass~s~or.) j
:
~ti ~~~84 ~2 ~
~ ~:o. 13 ' ` `
-
:r:
_ , ,
_ - - - -
i . . . . . ~ . ~ . . _ . _ _ , . n.. _