HomeMy WebLinkAbout1048 Declaration ot Don~tcile and Citizenship 19.~1 .
4
TO THE STATE AND COUNTY TAX ASSESSOR, ~
~ 51. LUCIE COUNTY, FIORIDA:
This is my decla~ation of Domicile and Citize~ship in the State of Florida that I am filing this day in acoo~dsnce and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a legal resident of lliami Florida
(City) (State)
and 1 resided at 20++ 79th 3treet N w . Hcwever I have chanqed my domiti~e
(Street and Number)
to a~d am and have been a bona fide ~esident of the State of ~lorida since day of
Janua~ , 19 ?0 , a~d i reside at 901 Crawfish Court
(Straet and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA .
and this statement is to be taken as my declaration of citizenship, actual legal residenoe and domicile in the State af Horida.
(Insert here any pertinent facts, such as sale of property or busineu, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, ett.)
Marion ~u Fousner ie in the custody of Bruce Feuener
and is intering Indian Hiver Junior College.
FII.ED ANO RECORDED
' S7. LUCtE COUNTY. FLA.
: s.=re~~ v~~~=~ 192914
'70 f~~^Y y Q ~ 5 ~ -
~ :..o~;E~ ~'OSTR:•S
Cl_~RK CIRCUIT COURT
1 FURTHER GERTIFY that I will oomply with alt other requiremenb of a leyal resident of t~is State.
I FURTHER CERTtFY that I have no intention to retum to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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~ Q . Bruce Feunaer
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~S~wtkn to and wbscrib~d before me this ~th day of Y~ , 19~.
ROGER POITRAS
CIRCUIT COURT Notary Public
8y `~"`'~'e' D.C. My Commiuion expires
(To b~ ~x~cuted in dupliuN snd ori~inal fil~d witb Cl~rk CirwM Courf, and duplie~af~ with Tax As~stor.)
~.84 ~104g
•Y No. 13
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