HomeMy WebLinkAbout0851 Declaration of Domicile and Citizenship
"1'O THt~ STATH ANll ('OUtiTY TAX ASSt'SSOR. 242132
St. Lucie _ _ _ _ . C'UUNTY, FLORInA:
Tl~is is my dcrlaration u!~ Domicik and Citiz~nship in the Statr of Florici~ that 1 am fling this day in
accor~lancr, and in ~onformity with Sc~tion 1?, Florida Statutcs.
1 was forn~erly a leg:~l r~sid~nt ot~ _~uisville- Kentu¢k~r,__-i - and f
~c'etY> {statr)
rrsidrd at 2814 Bock_hsven_ A_v_e.-_ - - _ - - _ - - - _ . However, 1 have changed my domicile to
~ IStrrrt anJ Numtxr)
:+nd am :~nd l~~ve bec~~ a bona tidr nsidrnt ~f the State ol Florida since day of
_ _ - - - _ . 19_ . - and 1 mside at
(Street and tVumber)
- - - - - - - - - . County, Florida,
cc•~~, ~
and this statement is to b~: takrn as my deriaration of citi•r.rnsliip, actual legal residence and domicile in the State
af FioriJa.
~Insrr. hrre any prrtinrn[ tacts, such u~Ir of pruprrty or Ausinru, or relinyuishment of employment at tormer
domicile, rrmoval of familp to nrw dumicile, purch:+sr of home, rtc.)
I am on Active Duty With the U.S. Arwy and plan to retire in Florida. We have
two lots in rort St. Lu~ie and plan to live ~n oae of tham. It is Lot 7
Block 1792. In ovr viait to St. Lucie in August, all doubts in our mind
ware removed.
flt,EQ~ AND F,ECOROEO
sT IYCJE ~OUMTY ftA. ~
CtE K Ct~~".~u1T C URT .
RECr.=tp v: p!f1EJ
~ 1~ 3 ls PM'T1
2421~2
1 FURTHER CERTIFY that 1 will re~~ister at my local address when the registration books reopen, and
comply with all other requirements of a legai resident of tliis State.
f F=URTHER CERTIFY th~~t I have no intcntion to return to my forn~er domicile, and I iniend to remain in
- - . _ _ C'ounty.
Flori~a. p~rmanent)y_ tc•~t~~~
~C~~,~Q +~~c y~~t,~..
Donald ~layne Helton 406-58-0720
-
(Name)
6610 Lee Highway Arlia~toa, Va. 22205
- -
_----~Address)---
S~vorn to and subscribed beforr me this`13 elay of
November _ _ _ A.D. I9 72 _ .
- - - _ - - - - - -
_~!~~~i~!- : - - - - _ _ - -
Notary Publ~c tate of Ftond~ at tac O~'~~
~y . ~-l~ . ~ca?~ s rLfV
~1y Cc~h~miss~on exp~res______ _ _ ~
17~ t+e exrcutrd in duplicatr and oti~:inal filed with Clerk Cireuil Court, anJ duplicate µith Tax Assessor)
~ ~ ; .
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- - . _ . . .