HomeMy WebLinkAbout1914 Oecla~ation ot Domicil• and Citizenshlp
TO THE STATE AND COUNTY TAX ASSESSOR. ~J~~
51. IUCIE GOUNTY, FLORIDA:
This is my declaration of Oomicile and Citisenship in the State of Florida that I am filinq this dsy in aooordanoe and
~n conformiy with Chaptw~ 222, Section 222.17, Flo~ida Statutes. ~
I was formeriy a legal resident of ~eY'SOII Sout.h Ca1'Olilia
(Ciy) (Sta»)
and I residad at R°nts ~j , Howevef 1 heve charpsd my domidle
(St~eet ahd Number)
to and am and have been a bona fide resident of the Ststs of Florida since i5~ day of '
J~ 6~ 319 Norbh 13th Street -
_ , 19 , end I reside at
(Straet and Number)
fORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of dttunship, ~ttual leflal residenoe snd domicile in the Stats of Horids. i
(Insert here any pertinent facts, such as sale of property or busin~u, or relinquishment of employm~nt
st fomner domic~le, removal of famity to new domicile, purchsss of home, etc.)
Hfl~IBSTEAD P'URPOSF,.S
FILEO AND RECOROBO
ST, I.UCIE COUNTY. FLA.
RECORD VERIFIED
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'67 fE6 14 PM 3: y5
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~iOi~ER NO~TR~S ;
CLERK CIRCUlT COURT ~
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I FURTHER G'HtTIFY fhat 1 will oomply with all other requiramenft ot a leqal resident of this State. '
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I FURTHER CERTIFY that 1 have no intention to retum to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
__~~~~~i.~ ' ~ _
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mej 1~fillisa H. Stillivan
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~ ; • ~ ~ : - • G 319 N. $lc~c~ 13th ~treet, Ft. Pierce, Fls.
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; ~ • ~ ~ ' a (Address)
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_ ,y . . , . y Fi~braary - 196
~ . ~.~w~h ~~`Zik~suibed before me this 1~ da of . ? • ~
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ko~'~~tim~?s ~
- CIRCU URT Notary Public
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gy D.C. My ~ommiss'wn expires
(To b~ ~acuhd in dupiicah and ori~inal Al~d witb Cl~~k Cira~if Couh, and duplieat~ with T~x A~s~or.) ,
eooK 164 ~19~12 '
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