HomeMy WebLinkAbout1928 -
Decier~tion of Domicile an~ Cit~tenst~p
TO THE STATE AND COUNTY TAX ASSESSOR, 1
22~'~'4
st •~Ie~_--- COUNTY, F1.ORIDA: . .
This is my drelaration of Domicile and Citizenship in the State of Florida that 1 am ftling this day in
accordance, and in conformity with Section 222.17, Florida Statutes.
i was formerly a legal resident of bom and reared i~ St. Lucie Cot~n_tX ~ and I
(Citr) (Sqte)
resided at . However, I have ~ttas~ged my domicile to
(Sueet snd Number)
and am and have been a bona tide resident of the State of Florida since day ot
~ 19_._,~i~c I reside at ~319 Sunrise Rlvd,
(Strset aad Number)
Fort P ierce . St . Lucie County, Florida,
(c~~r)
and this statement is to be taken as my declaration of citizenship, actual legai residence and domicile in the State
os Florida. ,
(Insert here any pertinent facts~ such as sak. of propMr or businas, or reliaquithmeat of emplorment at fotmer
domic8e. remoral of fsmily to new domicile, purcAase ot home, etcJ
~ Bom and reared in St. Lucie County, Florida. Own vacant land and have owned
homesites in past yeurs. ,
i~~~ ~ ~OI~
ROCER M ~
- 6lERK CtRCUit Q
RECORO vER~F~EO
~ t5 10 ~0 .
2~~9'74
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.
1 FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend to remain in
Fort Piar~e St. Lucie - County,
Florida,~qQ~~t,~px until suc~fiy~ime as 1 decide to move. ~
.
sme)
P. O. Box 21 , Pi'sr Florida
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Sworn to and subscribed before me this~~-~^~day of ..':,1,~~;~'... :~r`-,«:.
~ ~i~~' ~~1
- A. D. 19~2~- ~ . :;t
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-a HotuY ~btic State ot Fbrida st Lar6e . ~ ~ ~ -
My Commission ex i~~ ~ ~ ~ ~ R ~ ..1+ ` ~ _ . ~
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(To be extcated in duplica~e aud oriainsl tied witM C1erk Circuit Court, aud duplicate witA Tax A~aeuor)
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