HomeMy WebLinkAbout0120 . 486033 ~
~~i~ Df ~II ' ' ttnd fQtti~eitsl~i~
To the Stste and County Tax Assessor,
FLORIDA
St. Lucie County,
This is my Dedaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in aooord-
ance, and in conformity with Section 222.17, Florida Statutes, as amended by Chapter 26896, Laws of 1951.
1 was formerly a legal resident of___-Fay_etteville________________s__ -Arkan_ $$s__---_--____________
- c;N s,a»
and 1 resided at ___Rt.___~-_8_,___Box__ 114_________~~--_______-.-__.-__---Fay_ettevill~,__ Ar14_:___2701
su.a .~e ia~e.r said Ciir .mod s,«.
However, 1 have changed my Domicile to and am and have been a bona fide resident of the State of Florida
since- 1-- - day of - --January 19.80 -c~,~;{and 1 reside at
--____--3915__Sunrse__Bouleyarti -.---Fort -Pierce-_- - - - S$~Zounty, Florida,
Sank and wumbK City
and this statement is to be taken as my Declaration of Citizenship, actual legal residence and domicile in the
State of Florida. (Insert here any pertinent fads, such as sale of property or business, or relinquishment of
employment at former domicile, removal of family to new domicile, purchase of home, etc.)
______________We _have owned__propertY__in_the State__of- Florida__for ten______________ -
_ _____Xears _ including--_two_ .residences_- and_have__s_pent__most__ of__ our_____
_____time - n_- Flord~___for. the___~ast _four _y_ears_,____ We_now_ wish__izQ________ _
-became--Pt~_xman~t~t---ai-tZ~nS---Qf _-t~--S~?.~e of_.Fl.9r~a.--------------------
1 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
j I Further Certify that I have no intention to return to my former domicile, and I intend to remain in
l T.
~ -~4Yt_ ~1.~L~~,---------------------------------------------------- S~c~ounty, Florida, permanently.
CiN
486033
s ~
- -
AY ~ ~i ~ 53 ~ Name- sband
1980 N 9
FILED AttC RECURAE U -
S1abUC1E CGUNTY.FLA. N - - - -
!t GER POITRt.S • Wife
p,£!tK CIRCWT CCIf T
tiCtOR9-yfRtft~tl.. -Lb
WAR VETERANS -ALL WARS
~wprn.tD'ei~ subscribed before me this 7th.- day
• ~ Phase Check
'may - - - - ,19-sa .
-
. ~ i ~i.~~L~,~L! - W Wish American
_ = - - - - 2 - orld War
`'t' - ~ ~ ' -
ry - r Official taking Acknowledgment
-.'j C ; fa, 3 -World War II
_ .
- ; My.Ca~lm~ss,~n expires - - . p_-~f 4 -Korean Conflict ?
5 -None ~ ?
-:.b
FORM 16 III(
BOOK P1kGGE