HomeMy WebLinkAbout1838 - ~i
Declaratlo~ ot Do~icil• a~d ~itisenshlp~~
TO THE STATE AND COUNTY TAX ASSESSOR. 21~621
51. IUCIE ~OUNTY, FLORIDA:
This is my detlaration of Domicile and Citi:e~ship in the Stats of Flotida that I am filin~ this day in atoordante and
in conformity with Chapter Z22, Section ?2?.17, Florida Statutes.
1 was forme~ly a legal resident of - ~a- ' -
- ~ ty~ (Staro)
and 1 resided at ~ 6---~ _ Howevsr 1 have chan9ed rriy clomicjle
(Street and Numbe~)
- ~4
to and am and have bcen a bona fide resident of the State of Florids since - day of
. _-sL ~t1 ~C . 19~.L, and I reside at :Z ~ 3 ~ .0•• ~ _ _ .
(Street and Number)
FORT MERCE, SAINT LUCIE COUNTY. RORIDA
a~d sh:s stasar:.s~! is ta be iaken as my declaration of citiZenship, actual legal residence and domicila ir~.,the State of Florida.
(Insert here any pe~tinent facts, such as sale of properry or business, or relinquishment of emptoyment
at former domicile, removal of family to new domicile, purchase of home, etc.)
~~yZ'~~~L-C~~.-~ ~ c.y d C.c~ Q.."s~"~~..7s.
~ O 'd
FIlEO AND RECOROEO
S? LUCIE COUM?Y f~A ~
itOCER PQ~jRAS
• CIERK CIRCUtT COUpT,.c
~c~.~
REC~ VE ~F~ 0
j~ 43 AM'~ ~
I~ ~
~ 2i1621
1 RJRTHER C'ERTIFY that I wiil oomply with all other ~aquirementt of a le~al resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domitile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
$arl ~~."~'~raha~
2 ~ 3 ~l• _ ~ ~Cd .
- (Address)
Sw4t+?=~~.wbxritsed before me this 18~ day of J~y . 19 ~l
,t~.~ :i~tft~;
~ ` ~ C 0• ~`i,
~
`-~~r ~ ~ '
^f~#~-.~GOURT Notary Public
...,G; .
~ f,,
gy _ _ ~.C. N!y Commission expires
:#r ~ : ~
' i ~ ~ _
~
(To 6i.• ie duplieM~ and eriainal fil~d wi~h Cl~ek qraiN Couet, and duplieN~ wilh Tax AsMaer.)
„ ~193 ~8~ .