HomeMy WebLinkAbout1895 Deciaration of Domicile and Citizenship
• 282496
TO THE STATE AND COUNTY TAX ASSESSOR,
ST. LUCIE ~pUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that I am Cling this day in
accordance, and in conformity with Section 222.17, Florida Statutes. ~
. R~-~ ~ and
r,~.a~"~formerly a legal ~dent of ' ~y~,e.~
~ ~r S~
resided at . However, have changed~ domicile to
(Stteet ~nd HumOe~)
an ~a~~ir and have been .ar bona fide residents of the State of Florida since 7 da~• of
- ~~%YR~ , 19?
3 and ~re
ide at 63 ~
, '~~C2-/'-~ ' ~ (Stcest aod Num
Q~ County, Florida,
(a~r)
and this statement is to be taken as~yr declaration of citizenship, actual legal residence and domicile in the State
of Florida. ~
qnsert he~e any pettinent facts, such as ssle of ptopettY or Dusi~~ss+ a nlin9uishmeat ot empio7ment at fotmer
domic~e. remo~ral ot tsaulr to new domiciie. Purrci~ase 3f huu~=, rsr•?
RING CHILDREN IN SCHOOL: n HOMESTEAD EXEMPTION: ~
ENTE
If entering children in school, .
please 1'st their names; ~2~~
F~LEO AND RfCOA EO
. ST.1,ucrE ~pUNTr ~lA.
Cl RKCCi~~',CUIT COUAT
REC4R0 VER'FIED..~~~
Mnr 10 ~p iS ~ .l~ .
~
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~
~ .
~ .
FURTHER CERTIFY that wilf-registefat ~rty~address when the registration books reopen, and
~
comply with all other requirements of a legal resident of this Stat ~
RTHER CERTIFY that ave no intention to return to~ntq former domicile, and-i~intend to remain in
~ ~ ST. LUCIE , County,
Florida an~ntly . tc~~r~
,,.a~~.,, : , . .
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~r~o~r'y'~~•nnd•~nbed before me this z~ day of ~
~ ~o
A.D. 19.1.4~.
lorida
~ ~
ROGER POITRAS, r1FUU rTRC 1TT COUBT- ' ~S/~~
~ ~vz~~ De uty Clerk
By P
Q ~ ~ ~7 PACE~~
nc~ r~,
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