HomeMy WebLinkAbout1883 O~alarit1011 Of OO~Ila11~ alld CIlitMShlp
TO ~ STATE AND COUNTY TIhX I~SSESSOR. - 19`7s93
Si. lIK1E tOUNTY. FtORID/1: .
Thh is my d~daration of Oomicil~ and Citibnshlp in th~ St~t~ of Florid~ tMt 1 am filinq this day i~ aooorda~a and
in conformily with Chaptit Z2Z. S~cfion 222.17, Florid~ Staluut~~a.
1 was formsrly a Ipal r~sidsnt of L~~~~ ]!tqr
l~CitY) tStabl
and 1 ~esided et A9~ e.~~_ll ~t~,i HowwK.l h~w d~~p~t! my domWi~
. (Strut and Numb~?)
to and am and have baen a bona fide resid~nt of tfie Stat~ of Florida sinoe day of
-~a~. . 19_?D..., and f rasid~ at _4 e•• -
(Str~ ~nd Numb~r)
IoORT M~C~, SAINT lUCl~ CtfUNTY, ROR~A ~ 4 -
a~d this statement i: to be taken as my daclantion of citi~sn~Ip, actual le~l re=idenoe and domicil~ in th~ Stat~ of Horida.
(I~sert here any pe~tinent facts, such a~ sale of property or bu:inas, or rolinquishmsnt of employme~t
at former domiale, removal of family ro new domicik, purchase of h~ome, etc.) -
•
Ert~rin~ =lisati~t~t in tw it6 Sra~~
" ~nld 1~. ia th~ lst - F~~'0 ANQ REC~RDE01
i=''w~ ST. LUCIE COUNTY. FLp:
_ - RECORD VERIFIED
, _ . 1
~ '10 AUG 269~1~ 5g
_ - - ~ Ck,~~
ROGER POlTRAS
t
' CLERK CIRCUiT COURT?
's -
1 RIRTHER GEitTIFY thst 1 will compiy with all otiwr requir~b Qf a ispsl rosid~nt of thi: State.
1 FURTHER CERTIFY ihat 1 have no intention to retum to my--~ormer domicile, and I intend t6 romain in FORT
PlERCE, SAf~iT;~CJE COUNTY, FLORIDA, permanently.
x<~ .
i~`~~,, . • .
J_'V~~~1~'t1Ni.t J~f~
ti '
~ti .r.?r? • F X
: ~~.~'v~~
`~;~0~ ~~~~r-'3;~-
"~~'.1~`_~ r~~. • s~~'R~.~L" , . ' • r~~ .
/
~~C~i.'~~J-'~e"~ ~ ~tilZ'tr ~l~r/
. .rr•• f . p ~;~1: .
~'7r' t~=~~ p~;"*'R''+i`
` G ~ _
'Q =
: r,.._,-'y.~~si~'' . 9~~ ~ir I .
~ _ (A,ddnss)
:
i Td• } ~4• 1 .
" '~4 - t::s~•-~! F.. : .
.
~:~~j' . ~~1~~ ~ ~ -
''`~~~~~~~.rtt~~~~si~`~`:'-~and subscrlbed beforQ me ti~is day of ~t ~ 19 ~
- - T~= _
RO~R rOfTRAS -
C~CWT COtIRT ~ NotHy Pubik
By D.C. . My Commi:sioe~ axpi?rs
R~ r. .oo.cw~.d ia drpNca~. a~d .ei~l Ai~i wiN~ ti~k care+~N c.~re1, awi ~IiaM. wNr Tau A.r....rJ -
r~o. ~s e00~K~~ P11CE~$~ -
- - ~
~ . . ~ _ . ~
_ . _ , ~ ~ _
~ - ~ ~w .
-