HomeMy WebLinkAbout0462 Declaration of Domicile and Citizenship
241858
TU THI: STATt~ AND COUnTY TAX ASSt:SSOR,
St. _1u~ie _ _ _ COUNTY, FLORILIA:
This is my drelaration ~~t' Uomicile and Citiz~nship in the Stat~~ af Florida that l am tiling this day in
accor~l~ncr, and in conti~rmity with Srction ,,,.17, Florida Statutc.•s.
1 was iorn~crly a Irga! resid~nt ol' . New York__City_-------~- New York _ and t
ic.~rl ~sa~e~ -
re~ided at __~~3 ,_~gxwQQd__drive__ KI~s _ Park___ Howevcr, 1 have changed my domicile to
(Street anJ IVumbrr)
and ;~m and have hr~n a bona iide resident af the State of Florida since _ 25th__~ day of
---Septemher__ . 1~~ Z2, ~iid ! reside at _83~__~ D_~g~n Drive Port St. Lucie
(Street and Number)
Ft. Pierce St. Lucie
- - - - - _ _ - - - - • - County, Florida,
- ~c~~> > -
:,nd this statement is to be tal:en as my drelaration of citizenship, actuai legal residence and domicile in the State
of Florida.
(Insrr~ Arrr any prrtin~nt taits, wih as s:+lr ui pruprrly or business, or relinyuishment of employmrnt at formrr
dumi~itr, rrmo.at uf family to nr~r dumicilc, purrhase of homr, etc.)
Entering children in school
2418S8
=~6t~c~E ~ouk~Y ~1A.
ROcFp p~~tRAs
Cl~i1K Ct::~U1T COURT
w~enn;± vE~:F~~o.........,._
- Nor~ 13 tQ o5 AM'~1
C~
~
t FURTHE~R CERTI~Y that 1~vill register at rny loral address when the registration books reopen, and
compiy with aU other requirrmei~ts of a le~~l resi~ieni oF this State. ~
1 FURTHER CERT1f~Y that I have no intention to return to my forn~er domicile, and I intend to remain in
~~_Pierce-- - _ - St-z_ Lucie _ County.
' ~lo~~u.•pordl»nently. cc•~~.~? _
~~.~~R~~ C~n~F~": -
~ ~ ~ _ ~
= ; ,1 - _ - - - - -
, O 1. = = (Name~_
: , , ~ : ~ : _ Murray Freed
: ~ c, a ' '
- - - - - --lAadreu)
'~S~6rn~yq~s bscribed before m~ this 13_ _ day ef
~~t~
--___No e~her - - A_D. 19 _ ~.2-•
otary PuAlic St e uf Florida at Laree
~1y Commission expires ~S-~~~_s°
.(To 1~ r~eculed in duplicate and uri~in~I filyd with Cierk C'ircuit Court, anJ Juplicate Kith 7'ax Assessor)
B~Ctc ~VO raCE 4~
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_ _ , - = ,
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