HomeMy WebLinkAbout2537 Malatation ot OQmiall• an~i Citis~nship
TO THE STATE ANO COUNTY TAX ASSESSOR, ~
;
Sl. lUC1E ~OUNTY, FIORIDA: ;
This is my declsration of Oom~cile and Citi=enship in th~ State of Flo~ida th~t 1 sm filiny this dsy in ecoordance end
~n co~formity with Chapte~ 222, Sectio~ 222.17, Ftorids Ststutes. ~
1 was formerly e legal rosident of . - - ~FhO~aRB._ - _ - AlBaka _
(City) (State)
end 1 resided at 2828.1'.8a~ $4t~AYe. _ . However I have chan~ed my domitile
~ (Street and Number) ,
to and am and have been a bona fide resident of the State of Florida since ___26th day of
. . - ~
- - g1ig11H_t----_ 191Q_, and I reside at ----1310 1d1dW8Y - - - _
~ (Street a~d Number)
FORT HERCE, SAINT LUCIE COUNTY, ROREDA ~
!
and this statement is to be taken as my declarai:~n of citizenship, actual legal residence and domicile in the State of Florida. `
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.) , i
t
~
(School)
Mindy Susan - 6th Grade ~ . ~
John S. - 3rd Grade FILED ANO RECORDED' ;
ST. LUCIE COUNTY, FLA.
Judy Ann 2nd Grade R~COrr V~~~F~ED . ~
;
'TO ~ , ~98130 . ~
SEP 8 AMI 10.31
~ ~.~°/e .
i - ROGE P~ITRAS ~
CLERK CIRCUIT COURT
1 FURTHER CE~tTIFY that I will aomply with all other requirernenn of e leyal resident of this State. ~
I FURTNER CERTIFY that 1 have na intention to ~eturn to my former domiCG~e, and 1 intend to remain in FORT ~
PIERCE, SAINT LUCIE COUNTY, FLORI~A, permanently. Ed118 R. COIIII0113/ ~~dl"8. ~TOhII S. ~
_ ~
(Name) ~
i
~ . (Address) .
. F
Sworn to and subxribed before me this 8th day of ~ S6pteIDb@T ~~q ?0 . ~
r:
,,N~?~:1::1~~
jk~
ROGER ~ ~~yi
QE~1( ~ . ~CAI~`~~y.~~~~~ ` Notary Public
G •
~
By • % D.C. My Gommission expires
: . ~ . , • -
- S.t?• ~ 3 ; . : .
. s~T~~ • ) ~ ~ .
:t
(T~ w • wioinal H{~d wi~ C{Nlc Grsuk Co~et, and d~plicah whh Tax As~er.)
ao~K 186 PA~2530
.
. _ _ . _ . - _ _ _ s_a, ~ ~