HomeMy WebLinkAbout1855 ~ !
~ ~
Declaration of Dornicite and Citize~nship '
;
TO THE STATE AND COUNTY TAX ASSESSOR. ~~~9~
3 t. L u c i e _~U~, FLORIDA: ~
- k
~
'Il~is is my declaration of Domicile and Citizenship in the State of Florida that l~am filing .this day an
accordance, and in conformity with Sectio~ 222.17, Florida Statutes.
1 was formerly a legai resident of S 11 v e r S p r i n g ~ M d. and I
416 Kerwin Road cs~•ee~
resided at . However, I have changed my domicile to
csut.~ .~a N~~eK) . 2 3 r d
and am and = have been a bona fide resident of the .State of Florida since day of
April ~ 19~ and 1 reside at 2818 So. lOth Street
(Street aad Number)
F t P 1 e r c e, F 1 a. County, Florida,
(ctir) ~ -
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida.
p~sert here any perlinent fscts, sucA at sale of property or businest, ot teliaquishment of employmeat at former
domic~e. removal of familr to new domicile. purc6ase of home, etc.)
jenifer Le~Fogel
~ ~EO ANO RE a
_~.111~~E ~OY~ ~ `t~
Ol
ak C RCU11 ~~C~1 \
RE~01?0 vEa~F~EO ~ 1Z
~ t~ 2 i5 PN
2;~792'7
f
!f '
1F
1
~
I FURTHER CERTIFY that I will register at my local address when the registration books reopen, and
comply with all other requirements of a legal resident of this State. ~
I FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend to remain in
Ft. Pierce , St. Lucie County,
-y .
Florida, permanently. cc~tr~
~ ~ ~
~ c~ .~t~
~ ~.m~L
Lawren ce Edward Fegel
<is~+,tillii:ftN„~. a : (wddress)
• ~ z~~~_;
~ ~
3>>~~~..,: .~p~li~ii
,~,~vr0~n ts ~~~,~fiscribed before me this ~ day of
. . . ;
; ,
_ ; - A.D 19
:
. • A
' F/ •
k
-i
. ` ' e .~al! Ot ~1 • ~.ifj! .
. . ' ~ .
a -~b - ~
~`Mr~~sion expires
(To Ae esecuted in duplicste and oriainal CYed with Ckrk Circuit Court. and duplicatf with Tu Asseao~)
Ac;r; i . -
_ =
_ ~ r, ~ , - - - - ~ ~
. .~.z;'a ~ ~
_