HomeMy WebLinkAbout0142 Declaratio~ ot Domicile and Citisa~ship .
2~~3
Tip THE STATE ANO COUNTY TAX ASSESSOR,
~
51. LUCIE COUNTY, FLORInA: s
This is my declaration of Domicile and Citi=enship in the State of Flo~ida 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 - B018@ Idaho _
~C~tyj ~ (State)
and I resided at 1328 B61mOrit Howeve~ I have changed my domiGile
(St~eet and Numbe~)
to and am and have been x bona fide resident of the State of Florida since 8th day of
__Ju11e____ , ~q 70; and I reside at 1604-B JeY'8ey St.
• (Street and Number)
. ,
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
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 fads, such as sale of propefty or business, or relinquishment of employment
at former domicile, removal of family to ~ew domicile, purchase of home, etc.)
Establish Residence
i
F~LED ANp RECOROEO.
. ST..LUCIE COUNTY, FLA.~
_ '~ECOP~ VERIF~Ep
,l0 ~ ~~43
,p
,
N 9 Aly 10:35 '
I` i
~ R.G~ _ i
~OGER r~O1TRq$ ~
~ G`CERK CiRCUIT COURT f
t
~ i
1 FURTHER CERTIFY that I wil) comply with all other requirementa of a legal rasident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domiGi~e, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIUA, permanently. .
~ .
~
~ (Name) C . Ronald Smi th
I
:C~~ 1604-8 Jersey St., Ft. Pierce, Fla. ~
~3~ ~ ' . (Address) -
• o: .
; ' , ( 9th June 19 70 ~
Swom to=~yd subscribed before me this day of . °
. i ~
' ~
- "i~OSsER POtTRAS ~
CLERK CIRC OURT Notary Public ~
~
gy D.C. My Commission expires
(To bs ~xecuted in duplicste snd ori~inal ~iled wi~h Cl~lc Circuit Court, and duplicat~ with Tax Ass~stor.) ~
Bo~K 185 PACE 143
No. 13 _ - . _
_r~~ ~'~i-
_ ~_V ;