HomeMy WebLinkAbout0765 Y
D~cia~atlon ot Oon~i~il• and Citis~~ship . ~ ,
~
TO THE STATE AND COUNTY tAX ASSESSOR,
51 _ lUC1E COUNTY, FtORIDA:
Thi: ~s my aecla~st~on of.Domicile a~d Citizenship in the St~te of Florid~ thet 1 am filinq this day in acoord~na snd
~n conformity with Chapter 222, Section 2Z2.17, Florida Statutes.
1 was forme~ty a legal resident of _North c~uinC~ v___ ~dgss. _
(City) (Stab)
and 1 resided at 12 Ts9eX St2'eet _ However 1 have chanqed my domic.ile
(St~eet and Numbe~)
ro and am and have been a bona fide ~esident of the Stste of Florida since 15___ day of
~/S.~.
~S.~mD~t , 19~0, and 1 roside at 3351 .~8onte Vista St. ~ Pt. St. Lucie
~ (St~eat and Number)
FORT PIERCE, SAINT iUC1E COl1NTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in tl~e State of Florida.
(Insert here any pertinent fads, suth as sale of property or business, or relinquishme~t of employment
at former domicile, removal of family to new doi~nicile, purchase of home, etc.) ~
Residence
_ f`lE0 AN~ RECORpE '
iT. ~t~C1E GOUNTY f~
ROCER POITIIA!
CtERR CIRC!?IT CO ~
RECORO YERIFIEO i
J~ut ~ !I oo AH'Ti
~
_ ~
202833 ~
j - ;
~ ~
~ ;
~
~
~ 1 FURTHER CERTIFY that I will comply with all other requirements of a leflal ~esident of this State.
E
f
~ I FURTHER CERTIFY that 1 have no intention to return to my former domiUle, and 1 intend to remain ~in FORT
~ PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. C~ L~
E ~ ~
' ARTHUR E. WHITE
i
(Name)
i
'"-""'~r,;,, 3351 S.E. I~onte VistaSt. Pt. St.
~ . ~~G'%,~~ (Addres:) Lucie, Florida
~ . • :
t - . .
~ . ~ -
f _ • 7 ~ ~
; - 5worn kr, ar~ sii4scribed before me this 4 th - day of J anua ry 1971 .
i _ •n : ~ i
~ ;
's . ~ •i,~ ,.'f_ ~'t . .
4 . ~.'~C~~IC ~~'~OURT
` Notary Pub{ic
; .
F '
~ BY O.C. My Commiasion expires
46
F
~
L
y Ro b~ ~x~cutad in duplicaN and ori~inal fll~d whb CINft q?wM CoeK, and dupli~at~ wilh Tax Atw~o~.)
.
s $o~i89 ~ ~ 7'63 ,
~
; _
~ , . . • ~ 3. ~.<c~~s~~~