HomeMy WebLinkAbout1498 D~ala~atlon ot Danlall~ a~d Cltiz~nship
TO THE STATE AND ~OUNTY TAX ASSESSOR,
51. lUC1E ~OUNTY, FIORIDA: ~
Thi: is my decla~ation of Oomicils and Citiz~nship in th~ Stat~ of Florida that 1 am filin~ thi: d~y in ~aooordano~ and
in oonformity with Chapte~ 222, Settian 222.17, Florida Statut~s.
I was fo~merly a legal res~dent of _ Ohicago Ill. ~ _
(~ity) (State)
and I resided at 3627 NOrth P1he Gl"O~Q However I have chan~sd my domicjle
~ (Street and Number)
to and am and have been a bona fide rosident of tha Stats of Florida since ~ Y5~ day of
- July ~ 19 ?0, and I roside st 2716 S. 27th St. ~
(Street snd Number)
FORT MERCE, SAINT tUC1E COUNTY, RORIOA -
and: this statement. is to be taken as my_decla~ation of citizenship, actual legal reside~ce and domicile in the State of Florida.
(Insert here any pertinent facts, such aa sale of property or business, or relinquishment of employment
at former demicite, removal of family to new domicile, purchase of home, etc.)
(School)
Viacent Allen - 6th Grade~
Baren Gayle - 6th Grade
~ John l~ark - 3rd Grade FILEO ANO RECORDED
ST. ~UCI_ COUNTY, FLA:--
Patricia SZ~ $ileen - 2nd Grade ~~COR~ VERtF1ED
19`7438
'70 AU6 20 AN II: 13
~ f~OGER r'OtTRAS
; CLERK CIRCUtT COURT'
, _
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,
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I FURTHER CERTIFY that 1 will aompty wlth all other requiremenri of a lepal resident of fhis State.
I FURTHER CERTIFY that 1 have no intention to rotum to my former domi4le, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. d8ri~C8 SLilIi3.V8II ~MTB. Melvin)
.
(Name)
~ (Address) "
Sworn to and subscribed before me this 20th day of S~uBt . 19 70 .
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