HomeMy WebLinkAbout0518 DRClaration ot Domicil• and Citisenship
TO THE STATE AND ~OUNTY TAX ASSESSOR. ~~~~~7
Sl. LUCIE GOUNTY, FIORIDA:
This is my decls~atio~ of Domicile a~d ~iti=enship in the Stete of Ftorida that I sm filin9 this dsy in acaordencs snd
~n confo~mity with ~hapter 222, Section ~ 22~.17, Florids Statute:.
1 wes fo~merly a legal ~esident of ~o1~SL_ _ ^ -
(City) (Stah)
and 1 resided at 493T 80~8011 Drive Hcwevar 1 have chanyed my domi~ile
(Street and Number)
to and am and have been a bona fide rosident of the State of Florida since 15 th _ day of
! December , ~970, and I roside ar `~205 San DiaQn
(Street and Number)
FORT rtERCE, SAINT LUCIE COUNTY, RORIDA
and this stateme~t is to be taken as my declaration of citizenship, actual legal residence and domicile in the Staro of Horida.
(Insert here any pertinent facts, such as sale of property or busineu, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.) .
Ruth A Sutton is entering Indian xiver dr College
and is living with her a;=~~~~ntir. dc.lQra Charles
S imona bn. 2G 2669
FtlEO AND RECOR E
ST. ROCER PO~1RAi ~
CIERK CIRCUIT COURT
- RECORO vERIF1ED~.~~... -
~ OEC 30 2 39 PH'10 .
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I FURTHER CEftTIFY that 1 will aomply with all other requirements of a le~al resident o~ this State.
I FURTHER CERTIFY that t have no intention to return to my former domic.ile, and I intend to remain in FORT
PiERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
~ :;sl'attts,,i: ' .
~1 i''^J`•;:-~: (Name)
~ ~ _ 8uth A ~~s= Sutton
u; _ _ - _ .
~ • =~y = _ ~ (Address)
~ - _
~ . - 30th Deaember $0
~ -_,•~r~?~:dnd subscribed before me this day of , 19 .
~ =t.~r. ~ • ,~ti~ .
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ROGER POITRAS
~tIRCUIT URT Notary Pubfic
~ By ~~'`'~J D.C. My Commission expires
~ (To b~ ~x~cvhd in duplicat~ and oriyinal Al~d with C{Klc Ci?arif Cour1, and dvplk~t~ witb Tax A~ws~or.)
B~oK189 ~ 5~7
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, No. 13
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