HomeMy WebLinkAbout2137 ~ Declaration of Domicile and Citizenship
?
z~2sss '
TO TNE STATE AND COUNTY TAX ASSESSOR, ~
St. Lucie___COUNTY, FLORIDA:
This is my declar~tion oi' Domicite and Citizenship in the State of Florida that 1 am filing this day in
accordance, and in conformity with Section 222.17, Florida Statutes.
I was formeriy a legal resident of Mt . I+~ure 1 , N. J. and 1
(Gitr) (state)
resided at 118 Leeds TerraCe . However, 1 have changed my domicile to
- (St~eei and Number)
and am and have been a bona ~de resident of the State of Florida since 15 day of
September 19 73 _ and 1 reside at 1~6 N.E. Solida Dr. -
- (Street snd Number)
Port St . Luc ie St . Luc ie County, Florida,
(CitY)
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida.
(Inseri here anr pertineni facls, such as sale of property or business, w relinquisAment of employment at former
domicHe, removal ot family to new domiciie, purchax of home, etc.)
~2658
siii+K+~ cou+m
~
~~E~CC RCUIT
Cp$qRt
RECORC YERIFIEO.~,~~
~ M~r 11 I ~ PH'l,~
~
~
f
i
I
~ ~
t
I FURTHER CERTIFY that I will register at my local address when the registration books reopen, and
comply with all other requirements of a legal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domicile, and 1 intend to remain in
Port St . Luc ie St . Luc ie , County,
Florida, permanently. '
,~G~.!'/r~~
lenn C. ScheYmer
- OU (Name)
U. of Florida
Gainesvil~e~ Fla. 32672
(Address)
~
/ ~ k
Sworn to and subscribed before me this day of ~
- May A.D. 19 74 . ~
;~~v.i ; .
:
r~'• i .
. _
Notuy Pub ic State of flonda at lar~e = ~ ~ ~ . ~ .
tb~r }~6fk~+ StaN of f1o~WO ot loip -
My t'wwwdss:ow Eapires Ne~. 1l77: . ~ -
My Commission expires ~ s : " - ' =
' (To be ezecuted in duplicate and original fJed v~ith (aetk C~Sr,cu~t,Coutt.-and dupt'icate with Tax Assessor)
:
r~f1L~ PA~E~~~_ ,
~ Q:l~.
. . . , -
.va -u~.•'~--rR r: ~_:.rF~
. v~ . ~
_ . ~ . -