HomeMy WebLinkAbout0352 _ • ~
DECLARATION OF DOI?lICILE ANb CITIZBNSHIP
TO THE CLERK OF THE CIRCUIT COURT, ~
~
ST LUC I E COUNTY , FLORI DA : ~3%~J:~~~J ;
This is my declaration of Domicile and Citizenship in the State ~
r
of Florida that I am filing this day.in accordance, and in con- ~
formity with Section 222.17, Florida Statutes. .
;
As of January 15, 1976 I established a domicile in }
the State of Florida located at L~nk port, Fort P3erce, Florida
, where I reside and I have been a bona ~
~
fide resident of the State of Florida since ~anuarv 15, 1976 •
I maintain other places of abode outside of the State of f
Florida, to-wit: .
Province Line Road, ~
3ki11man, New Jersey ~ Ap ~
A ~rG~
~ pl~~
~ n~fwt
7~ ~ 7d h0
e~~
AF Q
Oa
~
~
~
~
~2
~95.5
however, my Florida domicile, set forth above, is my predominant and ~
principal home and I i*~tend to continue it permanently as_such.
This statement is to be taken as my declaration of citizen-
ship, actual legal residenc~ and domicile in the State of Florida.
I
I FURTHER CERTIFY that I will register at my local address when •
~
; the registration books reopen, and comply with all other require-
f .
j ments of a legal resident of this State. ~
i
f
E ~ ~t
~ S
ame
Link Port
Fort Pierce, Florida ~
ress . :
. _ : ~
SWORN to and subscribed before +
r.
~ me this 16th day of ,7anvary , 1976. ~ ' ~ 1~~ - =
~ - ~ s,~ _
~ ~ ~ ' b~f
Z'U'/~ -
~ l~ - ..,22~i~~cr,~'- (NOTAR~~ ' - ~
g otary u c, State lori a at Large J,;•.. `~~.~J~ -
~ ~ My Commission Expires: _ _ ~ ~'S"~~ j~1~
~ N016~ ~~-~-w Skd~ OI F{7r::J 'Or~ ~~o . . ' . ~ r....
~ ~ ~~fiY l7Q1GIlIt J1~1~ 1Yi ~7~ ' ' . . - '
~ ~ bp ~1'MRcan Rn s ao-i~tht !s
~
f
~ (To be executed in duplicate and original filed with Clerk of the
~ Circuit Court, and duplicate with Tax Assessor).
~ ,
THIS DOCUMENT PREPARED BY:
~ ' Thomas P. Ford -
~ 53 Wall Street 2~8 pA~ e~i
1
New Yoric, N.Y. 10005 ~
- y ~ _ .
~ ~ s { ~
. . .