HomeMy WebLinkAbout2041 Declaration at Qomicile and Citizenship ~
~CO THE STATE AND COUNTY TAX ASSES50R,
~ .t
Sl. LUCIE COUNtY, FIORIDA.
This is my de.laration of Domicile and Citizenship in the 5tate of Florida that I arn filing this day in accordante and
in conformity' witn Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of WaSh~ngtbn~ _ __~.Ci_____
(City? (Stat~)
and I resided at Z:2Q1 M8sS8ChtiS5e~t5_ ~1tA. N~W However I have changed my domi6ile
(Street and Number)
to and am and have beer, a bona fide resident of the State of Florida since ~-~th _ day of
December ,~q_ 65 and I reside ai ~t 2 Box 40b0- Lakewa;~ Park Est.
_ _ - _ _
(Street and Number)
FORT i~IERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, acsual legal residence and don;icile i~ The St~te of Florida.
(Insert here any pertinent facts, such as sale of property ur business, or relinquishment of employment
at former domicile, remaval of family to new domicile, purchase of h~me, etc.) ':•r~
; • J~'--
. .
. .
Establishing re~idency ~
A~argaret Shiels and. her sister Katherine H. Shiels oxn t.he house - ~
in ~oint name~. Both a.re establishing re5idency
~ Katherins H Shisls~s farmer address x~s-- 595~ ~'anconia Rd. Alexandria' Va.
E Thr~ry both eaine to F'la, together q~ ECO DED
~ ~Ftci~~_~orc~~oox
~
'6S D~~ 27 p;~i i: 08
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~~il~~
r;:,'. _ . ~ ~~L~RK
~
L'uLic CVU~~lT'f,
F~OF2;DA
I FURTHER CERTIFY tnat I wiil comply with ali other requirements of a legal resident of this State.
I FURTHER CERTlFY that i have no intention to return to my forrner domi~ile, and I intend to remain in FORT
PiERCE, SAlN7 LUCIE COUNTY, FLO'?IDA, permanently.
' ~ . J/1~~111~~/~~L~._-~~ ~ `r~jl 1 LG•
~i~
~ " • Marga~ret 5hiels
. . • ~ i~,•L.~.ri~i ~~,Jr_1
~-~y~.t~~ f ~ _
- ''~tr~-------
~ , ~
_ ~ ~ . ~ Katherine H. Shiels
Swom to and subscribed befare ~r~e this ~~~11____ _ _ day of . , 19~2~._•
RQGER POITRAS - - -
,.~ERK C{RCUI COURT Notary Public
; /
~~~t-~'~<~ C'Ct"l-~"~~~ p C My Commission exp~res
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(Ta be exetuted in duplicate and original filed witR C{erk Circuit ~aurt, and dupl+cate with iax Assessor.) ~
aoo~ 134 235