HomeMy WebLinkAbout0357 Declaration ot Dotnicile and Citise~ship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FIORIDA:
This is my dectaration of Oomicife and Citizenship in the State of Florida that I am filing this day in accordance and
~n conformity with Chapter 222, Section 2~2.17, Florida Statutes.
I was formerly a legal resident of _Q21~Q$Y~.~.~--_ _ - _ _ - -CO~-• - -
(City) (State)
and I resided at ___~ZZ HQl~ _~__D~~_~e . However I have cfianged my domitile
(Street and Numbe~)
ro and am and have been a bona fide resident of the State of Florida since 15th day of
- - - - _ ~T-Lil,y _ - - 19.31 and I reside at _~'~1_2 _ Rio ~[ar Drive
(St~eet and Number)
FORT PIERCE, SAIN? LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
(Insert here any pertinent facts, such as sale ot property or business, or ~elinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Establiehin~ reeidence 22
~'~"?'3
fIlEO ANL? RECOROfA
iT. lUC1E COUNTY Ft~.
ROGER r'~~TRAS =
CIEkK Lt,^,~~J~T COURT ;
RECCRD YE~~fiED._.,.r_
; ~AM L6 2 46 PM '7Z
~
~
~ ~
~ ~ -
i
~
:
z
~
~
~
~ - I
1 FURTHER CERTIFY that 1 will comply with all other requirements of a lega) resident ot this State. ~
~ .
~ I FURTHER CERTIFY. that I have no intention to return to my forme~ domic,ile, and I intend to remain in FORT
~ .
~ PiERCE, SAINT LUCIE COUNTf, FLORIDA, permanently.
~
~ .
. ~ ' ~ - `
~ ~ - (Name)
Paul Roeder
- ' y (Address)
~ -
:3~ v Sworn,to and subscribed before me this 26 day of J~ua~ , 19 72.
:fi
OGER POITRAS
t LFJtK CIRC T COURT Notary Public
~
.A_ ~
B G~~-~ D.C. My Commission expires
'
_ ~
{
(To b~ ~xecut~d in duplicat~ and ori~inal ~iled with GKk Grcvif CouA, and dupliwt~ with Tax Ass~s:or.) €
E
' t
t
; ~ ~199 ~E 356
~
~ _