HomeMy WebLinkAbout1658 ~ o~alaratio~ a oo~nlaU• a~d Cit1~~sMp
TO T11E STATE AND GOUNTY TAX ASSES30R, _
Si. UKIE COUNTY, FtORiOA: : .
This i: my d~ci~~atbn of Oomicil~ ~nd Citis~?~hip in tM St~te bf Haida that 1 am filin~ this day in aooord~na and
in oo~formity with CfiaptK ?Z'2. S~ttiw~ 222.17, Florida Statut~s.
I wai formKlr a Ipal ~esid~nt of ~ston YBeO. -
~ K~h) (Stat~)
end 1 rosided at _ _'-50 dnnun4lation 8d. my
. tStre~t and Nurr~)
ro and am a~d have bsen a bo~a fids nsidMt of the Stat~ of Florida sinot 26~ day of -
a~3r . 19 and 1~id~ at 3008 Aie. 8
- (Stre~t and Numbsr)
fORT M~CE, S~AINT 1t1C1E COUNTY, ROR~A ~
and this statemsnt is to be taken as my dadaration of citinsnship, actval legal residenos and domicile in ths State of Hotida.
(Inse~t here any pe~tinent facts, such as sale of propsry or businsss, or ~elinquishment of employme~t
at fwmx domicils, romoval of family to new domicile, purchase of home, rtc.)
. (sahoor) • -
~sr~ ddele:~ - llth Grade ~
Adrisnne Denice - iot,~ argae ~
3harri Itiyane - 6th Qrade ~~'riifin)
Kenne#.Yt Gregory - 3rd Qrads ~
~
~ FIl.~O ~AND RECQitDED'
ST. LUCIE COUN?Y, FLA.`
~ RECORD VERIFIEO ~~549
; ~ 'TO AUG 2 q AN 10 : 31 ~
f ~ ~~R
f - ROGEit POITR~S ~
; I FURTHER CERTIFY tfiat I will aomply~ with all oth~r ~quir~~~{lTr~Tbf thia Sta».
I fURTHER CERTIFY that 1 have rw intention to retum to my former domic,~le, and I iMend to remain in FORT
PIERCF, SA1NT LUGE COUNTY, FLORIDA, permanently. j[gr3? D. Yartin ~~TB. B1d98~
.
. -M )
~ .
~ ~ (Addr~ss)
Sworn tcr and:~ybscrib~d beforo me this 24th Auguet 19 70 .
_ . .
'\``~~~~~~M:t ~{It~j~-~ i
~ '~T ~ ~ki~ .
~i~.~. .
~
, • Notary Publk
"t~,i
8Y ' .
~.C. My Com~nission ~xpi~
~ + z._~= :
-_~,~s~~ ~ .,t•,~
i I . ~'~i°`
af1~ M~ ~ M1j1~1 ~r~ ~~Arfl~ Nld ~ M1~* AN~f.~
~ ~~``~j~nririm+H~!` ~ '
~ .
.t,~~~.~:-:'~' 6~K~~ PACE1~elV
u
- ~ - • . -