HomeMy WebLinkAbout2118 Declaration of Domici~e and Citizenship •
TO THE STATE AND COUNTY TAX ASSESSOR, 24'7191
_ St. Lucie _COUNTY, FLURIDA:
"Iliis is my dcclaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in
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ilC~:()f'lli~l~l:t',~ il11 lli ~;UliiUiiiifl)i Yijtil Ji~bilU~t i:~ a avaauu ~«a~~....,.. .
1 was formerly a legal resident of _ Danvi 11 e I 11 ino i s and I
(C~~r) (stace)
resided at 1305 Knox Drive . However, I have changed my domicile to
(Stteel and Numbet)
and am and have txen a bona fide resident of the State of Florida since 28th day of
Ja~uary , ~q__73 , and 1 reside at 566 Conover S~reet Port St. Lu~ie
(Street and NumDer)
Ft. Pierce , St. Lucie County, Flarida,
(c~tr)
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida.
(lnsrri here any pertinent facts, such as sale of property ot businrst, or relinquithment ot employment at formet
domicile, removal of family to new domicile, purchase of home, etc.)
Establis?~i*~g residence ~
Entering child in school 24'~191
f LEp Alty RECORpEO
i~. lUC1E COUM7Y l~LA,
A06fK Pg~t~tlf
CIERK CzKCJIT COURT
' AEC~R~ YER~f1E~~~
Fce S JJ Za A!I'7
I FURTHER CERTIFY that I will re~ister at my local address when the registration books reopen, and
comply with ali oth~r requircments of a legal resident of this State.
1 FURTHER CERI'IFY that I have no intention to return to my fomier domicile, and I intend to remain in
- ~.~:Ft . Pierce St . Lucie
Co~mty,
Flc~rii~'.'~pe«nanently. «''Y~
-:`~~ti~' ~ ~C~.l. '
' O f = - - - (N~' e) _
~ - : Betty Ga ner (Mrs Cecil E. )
- t,
_ .s~ n " o- = ' -
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, _ • ~ (Address)
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•.~wdi~io0rld~~ubscribed before me this ____S~h day of
~
~ February A.D. 19----73-
=_~a-ul~. ~e-a G,-~%
Notary Public State of Fiorida at targe `
My Commission expires__ _,I~n~ar.~ __L~,_~9.] 6
(To be executed in duplicate and ori~inal frtrd wilh Clerk Circuit Court, and duplicate with Taz Asseswr)
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