HomeMy WebLinkAbout0893 i
,
~
O~cla~atio~ ot DomiQil~ ar~d Citis~nship ~
TO THE STATE AND COUNTY TAX IISSESSOR~
Sl. IUCIE COUNTY, FlOR1~A:
This is my dacla~ation of Oomicile •nd Citiz~nship in th~ St~t~ of Florida that 1~m filiny this day in aooo~da~ and
~n conformity with Chepter 222, Section 222.17. Florida StatuMs.
I was formerly a ieyai ~esident of -~T~~e ~6'11 JerBey _
(City) (StaM)
arxi 1 ~esided at _ 658 3COt18Ad R08d , Howaver 1 have chan~ed my domitile
(SNeet and Number)
to and am and have been a bona fide resident of the Staro of Florida sinoe _ 21'$t day of
October , 19?~ , and i ~es~e at 315 North 21at street
(Strest and Number)
FORT NERCE, SAINT LUCIE COUNTY, FiORiDA
and this statement is to be taken as my decla~ation of citizenship, actual lega) residence and domicile in the State of Florids.
(Insert here any pertinent fatts, suth as sete of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Eatablishing residence and applying for~homeatead
~ ~za~2z
. ~~sQ,~'
O~E~IR O~q ~
REOORO Y~AI?j~Of~`~
'~t" g N~t AN'~1
. ~a-~
;
E
~ -
4t
f -
t
f
~ . .
`s
3
f
I RJRTHER CERTIFY that I will comply with all other cequirements of a le~al resident of this State.
I FURTHER CERTIFY that I have no intention to ~etum to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA,~ permanently.
.
~t~t~t!'=:Ir:rt::~~~ . - `
~
~ ~r
~ L~ : _'i~~~{,-'y.
= _
~ ,r
-~:4~:'" ~a~) ignuolo
~ ~r-'~ ' ~ Thomas Rus
~ } :_'a' ~a ~ t:'-`:.
~ - '?y .
l~ _
~ ~ _ ~ ; ~ `
~ (Address)
~ - . . _ .,i , ss4
~ " . • = = _
~ ~~=L~~''~'~~~ January 71
9Wp~~`~a erid.suburibed before me this 5th dsy of , 19
~ ~ •
~
~ ROGER rO1TRA5
~ CIRCUIT COURT Notary Public
~ i~~ C~ a~C.~
~ By D.C. My Commission expires
~
~
~ tTe b~ ~acvhd in e~plkal~ ind o~i~inal Nt~d wilb Ct~rk Grarif Court, and dup~eaN wi1M Tax A~e~.)
~ b40K ~~9 i'AGE O . .
rdo. ~ a ~
~--~,~..?~_~~x, - _