HomeMy WebLinkAbout1918 c
r,
Declaration of Domicite and Citizenship ~ ~
:
.
. ~
TO TtiE STATE AND COUNTY TAX ASSL•SSOR,
ST. LUCIE 2~~9'~
COUNTY, FLORIDA: s~
- r
71iis is my dccla~ation of Domicilc _and Citiz~i~ship in thc State of Florida that l am filing this day in ?
arcorJance, and in conformity with Section 222.17, Florida Statutes.
~
1 was formcrly a Icgal resident of d~ ~ d~ ~~K • and 1
(Citr) ' (stste) ~ '
S
.i
residcd at ..~.•T
X~ 93 . Howcver, I have changed my domicile to ;
(St~eet and Nu~nber)
aild am and have becn a bona fide resident of the State of Florida since ~s ~ day of
~']ri~~ _ , 19~ and I reside at ~ 4~; xe R~A St ~e7E. ~•.Z . s'
! (Street :nd Nu r)
~e~lT ~i~'~f~'p St . Lucie County, Florida,
.
cc~~Y~ ~ ~
a~~d tliis statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida. 3
t
;
P Pr 3 y::*.~........ ~
(Insr~l hete any {+ettinenf iacts, SUCt1 iS Silt Oi fu i~ Cw i~uSi~~<'SS. s7i 3:::~:"- ~f ~...Y1~Y~!w~ if fnrmK _
domicde~ removal of family to new domicile, purchase oi homs, etc.)
~ `
ENTERING CHILDR~N IN SCHOOL: ~ HOMESTEAD EXEMPTION: r
If entering children in schoolf
please list their names:
~dvii~ ~ ee~At/~f~
Ae v/''o e ~P 6 Aftd?~H
/~s,. ,o P.. .o r;.~O.~.G/S/ : ~
_ _ _ _ - _ _ ` .
~ ~ iILEQ : h,: ?FC.:RDEO ~l
~~tct [ V /DerP~~~/ ST LUC!; ;~.~.NTr FL4.
R~G,. ; :"RAS i
Cira~. : " ;'Ir ~OURT
Arr~,, -
- _ .
- Auc 9 9 4z AN'1~
~ 2b~8
~
E
`
pg
P
~
I FURTNEP. CERTIFY that I will register at my local address when the registration books reopen, and
comply with all other requirements of a leg,al resident of this State. _
I FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend to remain in -
FeRT I~I C~~ P ST . LUCIE County,
,
~ Florida, permanently. ~~i"'~
1 - • - yi,•: . ~ C~C.r ~ G~ ti~
'S , rl:~T.•
r - " r'.:. ~ .
~i~~~~n~r~~.• . ~ ~
Y~~p~P, ~
1 J ~ • '-i:.~: . _
~ = ~ ~ S IGNATURE
~ ; _
~ : ~ - : ~l ~ ; G~
S~yom and:s~6~~c~tiq~ ~e~ore me this -L- day of - .
~ _ ~ ~ • ~ ~ 74
~ ti ' A. D. 19
_ ` ~ ~ , g r
~ •
RpC;~~~ ~ ~~A~;~ CLE K CIRCUIT COURT , Florida
~
~ '
- gy ~ ' Deputy Clerk
(To executed ln duplicate and uri6in~l fded with Clerk Circuit Court. ~nd duplicate with Ta: Asseswr)
- a~o 230 1 "
K P~~.E y11 ~ ~ } . . . .
~ ~
_ . . . -
~ ~ _ _ ~~[t -
~
r" ~a~~- , ~ ~ ~ _
_ '~"~v.~~;~~~~~~.5.~---- . _~~5_ ~-z~.- =