HomeMy WebLinkAbout1504 aalaraNo~ of Oomlail~ ahd Citls~nshtp
L~~'744~~: .
to n~ sr~tE ~t~o eouNnr t~x ws5ES5oR. -
St. IUCiE COUNTY, ftORIW1:
This is my declaration of Oomicils and Citiz~nship i~ tM St~t~ of Florid~ that 1 am filinq this d~y in aooord~na ~nd
~n oonformify with Chapter 222, Sectio~ 242.17, Florida Slatut~s.
I was formerly a le~el roside~t of _ __~~A.~D/ R ~e~ f1S CARSI ~v~r _
KitY) (Stat~)
and 1 ~esided at ___~O~_ CG~CS f /~i~il~ ~I~. Howev~ 1 have chanqed my domk}I~
(Stroet and Numbe~) -
ro and am and have been e bona fide resideM of the State of Florida sinos ~ day of
_~l~AL~--- - . 19.~_, and 1 reside at 7'D3 D/C ~AwJ~c R ~it
Y (Street snd Number)
I~O~RT M~CE~ S~AINT LUCIE COUNTY, ROR~A
and this statement is ro be taken as my declaration of citiunship, actual legal residenos and domicile in ths State of Horida.
pnsert here a~y pertine~t facfs, such as sale of property or business, or relinquishment of employme~t
at former domicile, removal of family to new domicile, purchase of home, etc.)
DONAIi c ~A,V ~ yONS ~ t~
~iNqA IgNNC. .cyo,~s ~ -
FILEO AND RECQ RDED
~ ST. LUCIE COUNTY. FLA.
?2f:CQRD VFF~IFt~D
19`7~44
E '10 AUC 2 0 P~1 I: 3 9
~ ~R
~ ~ ~OGER r01~RAS
~ CLERK CIRCUIT COURT ~
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:
1 RJRTHER CERTIFY that 1 will aomply with all other nquir~ts of a lepal ~esident of this State.
-I FURTHER CFRTIFY that 1 have ~o intention to retum to my former domicjle, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~(~G /E~VA/E ~~/OhS (~'1RS - ODI14 ~ Q R>
r c't~.r~~ _ `f'~-SG~h1 ~ ~
(Name)
•270 3 .8~!
_
(Address)
~
Sworn~ to ahd s~bscribed before me thi: °?O day of , 19~11.
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