The URL can be used to link to this page

Home My WebLink About0222 _ _ ~ ~ . i ~ecl~ra~iore ~t ~omi~ll~ ~~d Citistn~hip TO TNE STAfE AND COUNi1r TAX ASSESSOR, . sT. LUCI~ COl1NTY, f~oa~oA: ~ ~ :l1..306'~'~ . . This is my declaretion of Romicile and Citl~e~:hip in the State of flo~ida ihet I sm fflinq thi: day in accardant~ anc! ~ in confarmity with Chapta~ 222, Section 222.17, Fiorida Statutes. Pho~nix City ' ~a I was forme~iy a tega) resident of . . (Ciry) (Statr) : snc! ! ~e:ided at 6n~ 7th....~l.~.G~ . How~ver I have chanfled my domic~le (Stroet and Number) . • F' " ~ to ~nd sm and hsve bean a bona fide re:ldent of tho State of Fiorida sinoe 14th dey of . ~ A'l~2/PAidD~f November / 19 64, and 1 ~eaide at ~07 ~~.fih ?th~ o______ (Streat and Number) ~ . ~ , , ~ lcORT PIERCE, SAIN? LUCIE COUNTY, RORlDA - ' . ' and this statement is to be taken as my declaration of citlaenship, actuel legal re~i~ionee and domiclle in the Stste of Horlda. , (Insert here any pertinent facts, such at asle of p~roperty or buslnea:, or refinqulihment of amploym~nt at former c~omicile, removal of family to new domicile, purch8se of home, etc.) . _ - ~ ~ - BnteriAg. Biaine Nortoa in the 24d grade - ~ Te~rrp Registtr in the 4th gr~cie, - ~ , . - : ~ ~ , i306'~'~ ~ . , - - . R~.COR E~ ` - ~ ~ 1. . , . _ . ~~p AND pO~K . ~ - i ~ ~ " _ . ~ . _ pV N p~ ~ "i; t ~ p~'19: Ol ' .t ; .~,.b~ v~ . ; - . . . 96yK 17 ~ ~ . ~ a'2~~ : - _ ' O~ 1 " E : t?~:T ~ ,j•7, . : ~ ~ . : R P4~T~AS'~`R1DA r = ' ~ ~ , . ~D~E ~p~Nj'(, E1.0 ; v~:, : : . St ~ ~.uC~~ ; , ± - .~j 1~ _ . • f : : ~ : ~ ( ij L \ti ~ ~ - ~ ~ : ' ~~~~~~une~N~~~~ ~ ; . : . - . . _ • ~ I FlIRTHER C~3tTIFY that wiN comply with all other ~equiremsnri of a lpal nslder?t of thl: Stats. _ ~ . - . 1 FURTHER CERTIFY that I h~ve no intention ta raturn to my former domi~ile, and I intend to retnain in FORY ~ PtERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~ ' . , ~~~~~~~~n~~r~_ ~ / i ~l~"O 7/~ • ~ / i 'l l . . (Plarr~) - . ~ , ` ~ . , ~ 1' ~lra Prank Nortoa - = - ~ ; ~ : + , S . . . . ~ W~, t, ~ .~s•~~~ . . ~ , . . . . - : ~ : ~ ~ ~ S ~ - (Addreas) : . . . . ~ • . , f • ~ ~ . . . . " . ' . . t .a ~ ~ i . ~ . . . . . . . ' ; . •i~ . _ ~ . . ~ I/ " ~ . • r . ; . - . . ~ . . . ~ ~ ~n : . . 64.: - ,~Svtom`~o~-a~d'~wbsaib~d b~for~r m~ this 1?th day of NeT~,~b-~-- ` ' ~ i9 . j~~ . ~ _ . . •Y ~~J~ i ' i . ~ ~ . . - : - . f ' ~ ~ - . - ' • . . . . CiRC CONRT ~ ~ . ~ NOtaty Publl~ ' . • . ~ ~ ~ w.~...C.`.L . _ p.C. . My Gon~mtuion ~xplra - . ~ : - _ - r ~ '~o~K ~03 ~-~222 : tTo b. ax.cv~.d i~ d~pli~al. atd «iyiNai ~ wi1M C1Kk Gra~it c+~at, s~d rl~ptiwf. wi~ t.x I1M«..~a , . ~ : . _