HomeMy WebLinkAbout1412 - - . - _ . _ , _ . . . . . - _ ~ _ _ .
Decf~r~~ion of ~Qr~ic~te ~~?d C~tiz~~shc~
~ -261265 -
TO THE STATE AND COUNTY TAX ASSESSOR, ~
~
COUNTY; FLORIDA: ~ ~ ~ ~
This is my dcclaration of Domicile and Citizenship in thc State of Florida that 1 am filing this day in
accordance, and in conformity with Scction 222.17, Florida Statutes.
1 was formeriy a legal resident of C~~~~ ~ MISSISSIPPI and I
~ tCitr) (stste)
msided at 312 South I.a Flore Ave . . However, I have changed my domicile to
(Strcct snd Numbe~)
and am and have bcen a bona Gde residcnt of the State of Florida since i$t day of
A~st , 19
73.y and I reside at 608 South 15th street
Ft. Pieree ~~a~ ~pd Number)
St. Lucie County, Florida,
. (pir) . _
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida. • -
(tiuert here sny prrtinent faets. sucA u sale oi pwprrty o? businas. or rclinquishment of employment at tormu
dankOq. removal ot tamily to eew domicile. purchase of home. etc.) a ~
. • . .
- Applying for hocr~estead . .
~ Entering children in school : - ~
James M Hane~ in the 4th grade -
_ William glrk in the 7th grade 26~5
a~
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I FURTHER CERTIFY that I will register at my local address when the registration books reopen, and
comply with all other requirements oC a legal resident of this State.
I FURTHCR CERTIFY that I havs no intention to return to my former domicile, and I intend to remain in
Ft. Pierce - St. Lucie ~
_ , , County,
x ~c~~r)
~ Florida, permanently.
~ , `l_t C,OG,I .
~
~ }
~
~ ,•,~~~1 ' 1°~iG.~~i• • (Nsroe)
_...i .f, 1
f~: ? • Q ~if I F
~ ~ y s.~. • , r ; f : (Addreu) t
~ . :19 : . - ~ ~ • • '
~ 13th
~ : Sv~ort~ ~o~an~•subscribcd bcfore mc this day of
~ .
~ , ~ ~ ~lugust . A.D. 1973 _ .
.
ROGER PO TRAS, CLERK CIRCUIT COURT
~ ny . ~ ~ ~ . ~ ao~ 217 ~1.407' ~ -
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