HomeMy WebLinkAbout1865 Declaration of Domicile and Citizenship
24'7U21
TO THE STATE AND COUNTY TAX ASSESSOR,
St. Lucie ~
_ _ _ _ COUNTY, FLORIDA:
Thi~ is my dcclaration ot~ Domicile and Citizenship in the State of Floeida that 1 am filing this day in
accorJance, and in eonforniity with Section 2??.17, Florida Statutes.
I w~?s formerly a legal resident of Lindenhurst L. I New Y~r~d 1
(Citr) ~ (state) -
resided at _____,160 So 7th street . However, 1 have changed my domicile to
(Sireet and Number)
~nd am and have bcen a bona fide resid~nt ol' the State of Ftorida since _ ~ S t day of
_ June ~q72_~ ~~,d 1 reside at Rt 4 Box 53 Hawley Road
(Strcet and Numbet) ~
Ft. Pierce _ St. Lucie County, Florida,
cc~~y~ ~
and this statement is to be taken as my declaration of citizenship, actuai legal residence and domicile in the State .
of Florida.
(Inser~ herr any prrtinent farts, surh as sale ot prope~ty or businrss, or relinquishment of employment at former ~
domicile, remova! of family to ne»° dumicile, purthase of home, etc.)
Establishing residence 24'7021 ,
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1 FURTHER CERTIFY tl~at 1 will register ai my local address when the registration books reopen, and ~
comply with all other requirements ~f a lega! resident of this State. ~
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I FURTHER CERTIFY that 1 ha~~e no intention to return to my forn~er domicile, and 1 intend to rcmain in ~
Ft. Fierce St. Lucie `
i ' anentl ~c~~~~i---- • - - , County, ~
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o ` ' = (Na e? ( Irene A. } ~
~ ~G ~ _ Mrs .William '~I Lar~cin Jr . •
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'r~'~' (Address) f
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Svsibrfitt~'~ttd~subscribed before me this __lst ~~y of
February A.D. 19_73 _
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Nutary Public State of Flonda at Large
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My Commission expires / S-/ % J~i
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(To be rxecuted fn duplicate anJ oriK~nal filed with ('terk Circuit Court. and duplirate arith Taa Asussor)
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