HomeMy WebLinkAbout1197 Declara~t~+~n of Damicile and ~itiienship
TU TNE: STATE AnD COUNTY TAX ASSESSOR, '2~8J88
St. Lucie ` _ COUNTY, FLORiDA:
'Itiis is my dcrlar:+tion of Domicilc and fitizenship in thc Statc of Florida that 1 am filing this day in
accorJ~ncc, and in confom~ity with SecNon "_?.17, Fiorida Statutes.
Massena New York
I was formerly a Icg;+l resident ot' • - and 1
12 Dover Street «'~r~ cs`"°>
msided at How~ver, 1 have changed my domicile to
(Surrt and Numbrr)
and am and Lave txen a bona fide r~sic3ent ~f the St:~te of Florida since __36~ _ day o1'
Dec:ember 72 156 Hemet Street
. 19-----• and I reside at -
POrt $t. Lucie $t. Lucie (street and Numberi
- - - County. Florid~,
(c'~~Y)
and this statement is to be taken as my declaration of citizenship, actual legai residence and domicile in the State
of Florida.
(inse~t here aoy prrfinrnt facts, sucA as salr o! proprrty or husinrss, or rrlinyuishment of rmployme~t at fo~mer
~micilr, removal of family to nr~v domicile, pu~chase of nomr, etcJ
In ~xaayc Februacy of 1973, I purchased a home in Port St. Lucie, St. Lucie
County, Florida, and have moved my family and myself to St. Lucie County,
Fiorida. I~egally moved to St. Lucie County, Florida on December 30, 1972.
fILEO 4~~ RECORDBp
'ST.lUCIC GJ!?MT1' F,~,~. ~
• ROCEF• P,,ITRAS ~W
CtfFK C1-~;,~IT C{~URT ~
RECC;~ vE'~?FIED
~~~'13
2485g8
I FURTHER CERTIFY that I will re~~sier at my local address when the registration books reopen, and
comply with all other requirements ot a le~al resident of this State.
1 FURTHER CERT(FY that [ have no ~ntention to return to my forn~er domicile, and 1 intend to remain in
Port St. Lucie St. Lucie
- - - - - - - - - - . County.
Florida, permanently. tc•~~>~~ -
c
• `~L.~!%Y ~
David A . Valle jo ~y'""> _ - -
(Address) -
Sworn to and suhscribed before me this _ 28______ day of
February 73 ~
- - - A. D. 19-
ROGER POITRA~S+, ~CjL~/E''~R~K /O'+/F~j C~~I~~R I~+T~ ~C~OTU~Rj~T
1~r-d.?V~/l~-1iVyli~i -Tr-LVi1LLLl--_
By c Deputy Clerk
S - - -
(To tre rxecuted in duplicate and otieinal filyd ~~ith Clerk Cir~uit Coutt. and duplicale Nith Ta
goQK211 PA~1~97
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