HomeMy WebLinkAbout2149 D~alaratlo~ ot Don~l~il• and Cltit~nship
t0 THE STATE ANO COUNTY TAX ASSESSOR,
Sl. llK1E CQUNTY, fIORIDA: _
This i: my declaration of Oomicile snd Citi:enihip in the St~~e of Florids that I em filinq this day in actordant~ and
~n conformity with Chaptsr 222, Sectio~ 222.17, Florids Statutes. -
1 was formerly a leqal rosident of BtOwoh _ North Carolina
(tity) (State)
and I resided at P•_ 0• BOZ 194 _ However 1 have changed my domiCile
(Street and Number)
17 th ~
to and am and have bcen a bona fide resider~t of the State of Flo?ida since day of :
4
~
~u~uet . 19,~~ , and 1 r~side at .~14 St111eh1Yie 1dOb31e Park i
~ ~ (Street and Number) .
fORT ~IERCE, SAINT LUCIE COUNTY, RORIDA ~
and this statement is to be taken as my declaratio~ of citize~ship, actual legal residence and domicile in the State of Horida.
(Insert here any pertinent fads, such as sale of property or business, or relinquishment of employment .
at former .domicile, removal of family_ to ~ew domicile, purchase of home, etc.)
(School)
Donald Felia - 5th Grade
FILED AND RECORQEO:_
ST. LUCIE COUNTY~ FtA. -
R~CORD VERIElEO
19`7861
! '70 SEP t . AM {0 : 3T
~
E ftQGE~ r01TRAS
CLERK CIRCUIT COURT~
E
~
1 RJRTHER CERTIFY that 1 will oomply with all other requirements of a le~al resident of this State. s
_ ~
I FURTHER CERTlFY that I have no intention to retum-to my former domitile, and I intend to remain in FORT
PiERCE, SAINT ~UCIE COUNTY, FIORIDA, permanently. ~gry Jsue HeBther~.y (1iTe. r,loyd B. )
~
r ~
(Name)
~
(Address) - '
i
t
,
lst Septe~ber 70 ~
Swo~~,to ail,d,wbsa~bed before me this day of. , 19 .
. ~~`rNUN~11;~.krr
~~,~a•~~~>~, yr
: • 14~r ' .
f~ ~
) ~
~ - - Notary Public ~
._t
- ^
By ~ ' i' ~.C. My Gommission expires
. ~
_ 3 ~II~•'
y` x ~ s.`, e~. ` .
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~T:'s..R~iii~~.~+~••wd e.i~in.~ fil~el wifl~ a.ek cira~if c~. .nd depu~.~. whb T.ic A.....e.a
' ~:.,..ylc'~~' .
eooK186 ~cE2145 ~
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