HomeMy WebLinkAbout2734 153~5 I
Declaratlon ot Don~iciie and Citt:enship
TO THE STAYE AND COUNTY TAX ASSESSOR,
51. IUCIE COUNTY, FLORtOA: '
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filin~ this day in eocorddncs and ~
~n conformity with Chapter Z22, Section 222.17, Flarida Statutes. 2
I was formerty a iegai ~esidsnt of ~~ilton New York
(Cify) . (Stote)
and 1 resided at ~ R~D •#2 However 1 heve than~ed my dqmicjle
~ (Straet snd Number)
to and am and have been a bona fide resident of the Stats of florids since 221d day of
_ Nove~aber , ~9 6~, and 1 restde at _ 913 Angle i3ear~
(Street arxl Number)
fORT PIERCE, SA1NT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my detlaration of citizenship, actual leqal residenoe and domicite in the Stab of Horida.
(Insert here any peninent facts, such a: sale of property or bustness, or relinquishment of employment
at former domicile, removat of famity fo naw domicile, purchase of home, etc.)
Establis~eing residence F~LEO
ST. LU~
E ~ RECORD~D
~ECORp
yERlFI• p~.
'67 d~,~~u~i
M~R T 9: 51
~tFR ~ ;.o,rR~53~S
K CIRGUIr COURT
s
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I FURTHER CERTIFY tf~at t wili aompty with atl other rsquiremenb ot a lepal restdent of thi: State.
I FURTHER CERTIFY that I have no intention to retum to my former domicjle, and I intend to remain in FORT
, ~
PIERCE, SAINT LUClE CQUNTY, FLORlDA, p~ermanently.
. , ~
, ; - , ~
: (Name) ~
. -
. • ~
-:--••.;.:-s;. T• t
~ Mrs. Florence Merrif ield i
' ~ ~ ~.~o. '
~ :~_.i4 ~)i~-M~~?+.~.L.
. . ~!r :'ii+.fT 1 ± ~ 3~ ~ (Address)
1 .
7 March ~
Swoi~ ~'qaqa`,~bscribed before me this day of - 19 6? ~
.
. = , .
. . ~ ~
ROGER POITRAS ~
CLERK IRCUI~ COURT Notary Public
gY D.C. My Commission expires
Qo b~ ~x~cvhd in duplicah and ai~inal Ahd with Cl~lc Cira~it Couef, and duplicat~ wilh Tax Aua~or.)
sooxlfi4 ~~~731
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