HomeMy WebLinkAbout1968 Declaration of Domiciie and C~tiz~nship
TO THI: STATL• AND COUn'i'Y TAX ASSL'SSOR,
S t. Luc ie 265~?7
- - COUNTY. 1~ LORIUA:
71~is is my drelaration of Uamicil~ and Citirrn.hip in thr Stat~~ of I~lorida ihat 1 am tiling this day in
accordancc, aizd in conformity with Srction ~?'.17, Florida Statutrs. ~
1 was fonnerly a Icgal nsidcnt of~~ifL~ ~~:LG~i~~l:~" - , ~ - ~nd !
(citr) (stace)
resided at ~~~Y/-/f! C a~- T~Rne~- . However, 1 have changed my domicile to
~ (Street a~d Number)
and am and have bcen a bon:~ fidc resiclent of the State of Florida since ~ day of
now ~ pL
, 19 70 , and I/Eeside at ~~s/" ~
. (Street and Number)
. S t. Luc ie County, Florida,
(c~~r)
and this statement is to be taken as my declaration of citizenship, actual legai residence and domicile in the State
of Florida. ~
(Insert here any pertin~nt facts, such as sale ot pro{xrty or businrss, or relinquithment ot employment at former
domic~le. remo~al of tamily to ne~v dumicilr, purchase of home, rtc.) •
Entering children in school:~ ~
filFO ANfl RfCOR0E0 ~
ST. LUWf GOUNTY FU.
ROCEa ?O+T1t~S
CIER!( Ci~ G~iT COlfR7 ~
REr,pRC YEe,t~c~~~~
Oci t1 9 s2 AM'13
- 26588'~
I
I ~
I FURTHER CERTIFY that I will rcgister at my local address when the registration books reopen, and
comply with all other requirements of a leaal resident of this State.
I FURTHER RTIF h:it I l~ave no intention to return to my former domicile, and I intend to remain in
~ ~
~ ey-t~ ~ St. Lucie , County,
Florida, permanently. (c''''~
U ~ ~
C'^ v~~%~-'
r v,i ' = (Name)
•c~~ . . - r: _
} =
R3:. ~ - ~~i- G~~~~ _
- • ~ : ~ (AdJrcss)
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.~S~~dorti to at~d.Su~n~bed bcfc~rc mc thi. --f clay of
~'%~~'1~~:-~.-~ ~DC A.D. t9__ 73 .
-
ROG~k POITRAS, CLERK CIRCUIT COURT .
- - ~ K 219 ~1967 -
• 800K
Y f
B Deputy Cle
(To Ix rxrculyd in dupfi.alc :~nJ ~~u~i~~ J J~.~th t'Ir~1. ('~rc~nt ('uuil. auJ Jupt~..~tr ~vith Tr~ A~x•suN)
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