HomeMy WebLinkAbout0818 1
~
Declaratlon ot Domicile and Citisenship ;
'2~48Up ;
TO THE STATE ANO COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship i~ the State of Florida that 1 am filing this day in accordance and
~n conformity with Chapte~ 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of ___-~PittSbLlrg_____________ p@TtItB
(Ciry) (State)
and 1 resided at SH12_ ___.B18Ck_Street However 1 have changed my domiti~e
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since 1S t_ day of
_ January 1970 , and I reside ar 161 Jordain Road
(Street and Number)
FORT PIERCE, SAfNT lUC1E COUNTY, FIORIDA
and this statement is to be taken as my declaration of citizenship, actual legal resiclence 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 domiciRe, purchase of home, etc.)
Establishing residence and applying for homestead
z~~soo
Fi~EO aNr RECOaoEo
St. l1iCtE COUYTY f~~.
fIOGEti ~OITRAS' ~
CLERK CIRCUIT Cd~FR-T
fIfCORO alERlFtEp~.,~
~µYYi'V
F JD~~~
Y
i
t
i
i
e
ep
S
~g
b
i
2
i
~ 1 FURTHER CERTIFlf that I will comply with all other requirements of a leyal resident of this State.
~
1 fURTHER CERTIfY that 1 have no intention to return to my former domic,ile, and I intend to remain in FORT
~ r IERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
~ .
~ ~~~:,.~i~...:. - ~l~J !
. y
tjl?,r'. CG.:;,.
~ G ? %
~ ; \Q' ' J~.1t~ ' • (Name)
~ ~ 5`~: ? • ~ ' ~ Frankl in C Schaum
~ r`.'~~~•~t _
_ • ~ ` • ~ i ~ =
~ : N~ j,:.: : v z . (Address)
" r . ~ t ~
~ ~ C• ` .
l~~ '
~0;,` 18 th F br
.r SwotTl.tA~.shd s~bscribed before me this day of - e 1]8r}t , 19~1.
~
~
~
~ ROCER POITRAS
~
K CfRCU1T URT Notary Public
~ ~ ~
~ By D.C. My Commission expires
~
~
~
~ (To b~ ~x~cuNd in dupliuM snd ori~inal filed wjth Cl~rk Circuit Court, and dupliut~ with Tsx Ass~saor.)
~
~
;e; !~0 1~ ~4QK~~o V~~ y
~
~ ~ry,.
.
~ - _ _ _ _ _ _ _
~ _ _
<
w ~ _ ,