HomeMy WebLinkAbout1594 Declaration ot Domicite and Citizenship s
' .~/~~ie~
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. IUCIE COUNTY, FLORIDA: '
~ 4
Th~s ~s my declaration of Dom~cile and Citizenship in the State of Florida that 1 am filing this day in acco~dance and
~n conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of _____Gaffri~_________ _ SOLith Carolina _
(C;ry) (State)
and I resided at ___._312 _ Eaat_ Fair~iew _ Ave . Nowever I have changed my domiCile
(Street a~d Number)
ro and am and have been a bona fide resident of the State of Florida since ____-____3rd day of
_ October ~9__?~, and I reside ar ?~5 Southeaat Calsoaa Dri~e
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in th ~ State of Florida.
(tnsert here any pertinent facts, such as sale of property or business, o~ relinquishment of employ ent
i at former domicile, removal of family to new domicile, purchase of home, etcJ "
~ Enroll children in achool. ~
; Deani I,Qe McKinney 8 years ~
~ Ayp RECOROfO .
F1~E0
~ ST.lUC1E COUNtY fl~. `
k Geani Babs McKinney 7 yeara ~~ERK C~~U T° at ~
~ RECORO VER~FIEO
e
~ Noy Z9 3 za P~'1
~
~
~ .
~ 219601
~
~
~
~
~
~
j=
~
~
~
,
I FURTFiER tERTIFY that 1 will comply with al) other requirements of a legal resident of this State.
~
~~3 I FURTHER CERTIFY that 1 have no intention to retum to my former domiGle, and I iniend to remain in FORT
=fr PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
_ ' ~
y ~t iL sGCc_
=~a
(Name)
Earl Dean D~cKinney
~15 Southea~t (:al mos~ T~ri ~re
= , (Address) s
c ~
- ~ ~,•8'~,~01 tq/a ~;ubscribed before me this ~ day of ~~?~«L~i - . 19~ i
~ ~
~ i
- C>>~s~jil:~i : ~ L,`~..
~ ~i
" t~8 ~ S`~ . -
~ ' C :QOURT Notary Public
- . _
: ~
By 0.C. My Commission expires
_ ~ t
, Ce.~
~ (To be executed in duplicate and original filed with Clerk Circuit Court, and duplicate with Tax Assessor.) 2
:
~
• ~~7L