HomeMy WebLinkAbout1895 ~ ,
DeCiaration ot Domicite and Citizenst~~~
TO THE STATE ANO COUNTY TAX ASSES50R. 26159'7
51. LUCIE COUNYY, FLORIDA:
This is my declaration of Oomicile and Citizenship in the State of Florida that I am (iling this day in accordance and
in conformity with Chapte~ 222, Sectio~ 222.17. Florida Statutes. . -
1 was formerl a le al resident of ' `M ~S~-(~ ~2
Y 9
~C~ty~ (State)
and 1 resided at _~O 1~' . However 1 have changed my domiCile
• (Street and Number) •
~ ~ -
to and am and have been a bona fide resident of the State of Florida since ~ S day of
4~ ~ 1 , 19~~, and I ~eside ~at ' ~ ~ ~ ~ ' Z ~ ~ ~
(Street and Number)
~
~OR? PIERCE, SAtNT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in tfie State of flo~ida.
(Insert here any pertinent facts,. such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to ~ew domicile, purchase of home, etc.)
F EO A~ID AECoRp~
Applying~ for Homestead - ~ s~~~~E CouNtt r~ .
~ocEa vo~T~~s ~
' CLERK CiRCU1T COURT
RECORQ VERIFtfO
- Entering children in school :
1 Ara Il 8 v~ IU!'T3
`1ol.~e~-~.- S. ~~,~~.4r>
~ ~ ~ rLt'N~ ~ ~ti t~roTTr~ 26159`'1 ~
' V v 1~ 1't-) VR C`'= 1~AJoT T 1
j ~ ' ~ .
~ _ V+' 1~~--t ~ ~~N o~T~
^ ~ .
~ w~ PS ~
C-?~WnJpT11
I FURTHER CERTIFY that I will comply with all other requirements of a legal resident of this St~te.
1 FURTHER CERTIFY that I have no intention to return to my former domiGi~e, and I intend to rem~in in FORT
d e~y T S G~ A ~re t+
PIERCE, SAINT LUCIE COUNTY~, FLORIDA, permanently. ~
~
~ N me)
c•
~ ~ . . .Z ~ ~ ~
~ - •4
,
~ ; G V ~ (Address) _
C ` t
~ : ~,G ..5vut•f„ . OG . .
> :
~ ~ r i. Y ' ' . ~ 's-' .
! Svv~r~ Q~da~lrs~tios~~ed before me this l 7 day of . 19~
:.-o: .
.-t .,v~~ .
~E~;`~. :
. ft
~E~~~Cl~fT~COURT Notary Public
, .
Cy _ ~ 11~1L~_ D.C. My Commission expires
O OR Q
- BCUK~~ PACE~Q~7
(To be oxecufed in duplicato and oriqinal filed with Uerk Circuit Court, and duplicato with tax Assessor.) ~
~
~ ~ ?
~ ~ ~ _ _