HomeMy WebLinkAbout1666 . O~aia1'ati011 ~1 OOIIflalli aM1 CItltMihip .
TO TNE STATE ANC COUNTY TAX ASSESSOR, .
Sl. lUC1E C~OUNTY. ftORICl1:
This is my declar~tion of Oomicil~ ~nd Clti~thip in tM St~h of Horida that 1 am filinp this d~y in aoead~na a~d
in oonformity with ChaptK S~ttion Z22.17, Florida StatuNs.
. 1 wai formKly • Ip~i nsid~nt of Ysziao ~isw York
(~~fY) • (Stah)
and I ~~id~d at 8d . 2, . fbw~vK I haw cF?up~d my domic3l~
(StnN a~d Num6er)
to and am ar~d haw bs~n a bona fid~ rosidant of the Stat~ of Florida _ 26th
June qZ, e~ i~~ 2808 Ave . B .
(Streef and Numbsr)
lrORT SAINT ttlGE COUNTY. /tOR1DA -
snd this staterr~ent is to be taken as ~ny dedaration of dtiu~~ip, actuai (e~al ~esidence and domicilo in the Stat~ of Floric~.
qnse~t hero any pertine~t fads, such es sale of properry or b~insss, or nlinqui~m~nt of employment
at former domicile, rornoval of family to n~w domicile, purchase of home, etr.)
~ ~ ~(School) ~
l[arY ~'Brien - 12th Qrade
~ l~ahele 0'Brirn - llth Grade
Donn4 0' Brisn - 8th Qrade `Ftl~'~Q R~~~~~ -
ST. IUCIE COUt~TYj-F~~ .
~ llayns Mo~~r - 4th arade RECORO V~RIFI~D ~
Diana Yo~er - lst arade - ,TQ , ~~~5
AU6 14 AM t I: 32 y
~ - RoGER ~'y~
_ CLERK GRCU~r COURT,~
~ -
1 RJRTHER CBtTIFY that i will comply wlth all athK nquin~rwnt= of a Ipal r~sid~t of thb Sfah. -
I FURTHER CERTIFY that 1 have no intention b retum to my forrnsr domivle, and 1 intand b remain in f0ltT
viEacE, SAINT lUCIE COUN?Y, ~oRioA, ~manent~y. Luaille Yoyer (lire. 8dward)
- ~ (Nam~)
iA~ddnss) .
Sworn ro and wbsuib~d bsfor~ me this 24fih ~y ~ Ati~tiat , 19~.
~„~falat,L. ' ~
1ili:Mt/~k
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` , ,~~~'i " Not Publk
ary
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"~~~~-~::r~~~::gt,t~ ao~186 ~1664
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