HomeMy WebLinkAbout1820 E
E
~
aalaratio~ of OOrnlall~ a~d C1tls~nshlp
1,9~~~0
TO THE STATE IWD COUNTY TAX A.SSESSOR,
Sl. ItKIE COUNTY, FlORIOA: ~
' This is my declaration of Oomicil~ and Citi~nship i~ th~ St~» of Norida that 1 am Hlinp this day in ~ooardu+o~ ~d
i~ oonformi~y with ChapNr ZZ2. S~ction 22~.17, Horida Sf~tut~s.
1 was farmerly a lp~l rosidMt of Campbeilburg Ind . _
Kih) . (Stat~)
and 1 rosided st ~ 8t 2 . HovwvK 1 haw thanq~d my domWi~
(StrNt and NumbK) ~
to and am and have been a bona fide rosid~nt of th~ St~b of Horida sinoe 18t ~y ~
?u~.u~~__ . tq~II. end t rostd. n Dizi e Yobile Home e .
(Street snd Numb~?)
FORT. M~CE, SAINT L1KIE COUNTY, RORtDA ~
and this statsment is to be taken as my declaration of citire~ship, actu~l le~al residenc~ and domidle in ffis State of Hotida.
pnsert here any peninar~t fac~s, such ds asle of property or bu:iness, or relinquishmsnt of employment
st former domicile, romoval of family ta new domicile, purchsse of hort~e, etc.)
Tsntering Debroah in the let grade -
" Bonnie in the 9th grade ~
" Billie in the lOth grade
~ ' ~1LFD "Alyp-Rg -
6t. LU~iE CQb~R~#
. ~ RECORD VERIFt~p
' 70~~//! f1~54
•
j - "v~+ Z~7 ~ ~ i -
i ~
~ CIERK
~ R PorTRag
~ . . ~RCUIT COV~.
I FURTHER CERTIFY that 1 will oomply with sll oft~x r~qui~~rtwnis of a lepal ro~id~nt of thb Stah. .
. 1 FURTHER CERTIFY that I have no intention to retum to my former domic~ile, end I isNend to remsin in FORT
PIERCE,.S~AINT I.UCIE COUNTIf, FLORIDA, permanently. ,
:~*;j
~
iu~t~«,rri~~~'-;•,<~_ , ~
- ~\~a },~.V ~.~.~C
~~~,'4?!:_
~ ~~~~1~~ ~ 1.' 1
~ r ° ~i a~`t~~~ `~Ei•'' - "
. : v,. , G .~f. (Nsme)
. : ~ ~
t:;•,nr+ ~ } ~
: ~ : w. BettyBowley ( ~rs Billie )
.°aSsc.a'~+t= s+~!.~:.~.
=a.~,-~-~1- ~ a'• : '
. ~ ~ _r.- ' A}. :
: ~ • ` . ' . • .
~
. ' ~~~r~~'` ~ (~~fKf)
. . a~
G(~, - t-`~,~
~ -
,~,a 2~~ 25 th Augue t 70
SS~t~i?~4~'wbsuibsd before me this day of 19
rO1TRAS .
COURT - Notary Publk
D.G. My Gommis:ion txpi~
R• r• s~arwd M d~lic.1. .ur «i~t»r fu.et wMb a.rlc cMadr e.wl, .~d ~M. wiN~ T.x A......~a
souK 186 r~cE 1$~.7
. .
_ .;y _ a ~ ~ r-s:a13-~.E-.w
~ r"~