HomeMy WebLinkAbout1273 Declaration ot Domicile and Citizenship
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TO THE STATE AND CGUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FIORIDA:
This is my declaration of Domicile and Citizenship i~ the State of Flo~ida that 1 am filing this day in accordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal ~e5~de~t of __.___pochhontas _ ~ _ _ Arkaneae _ _
(C;ty) (Stare)
and I resided at _ P• 0. Boz 46 However 1 have changed my domicile
- (Street and Numbe~)
to and am and have been a bona fide resident of the State of Florida since ._7th___ day of
Feb~`usY'y_ ~ 1968 ~ and I reside at _~__A•B.C.Trailor Park So 25th street
~ (Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
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 facts, such as sale of propery or business, or relinquishment of employment
at former dom~cEte, removal of family to new domicile, purchase of home, etc.)
Entering Zotetta May Smith in the 3r~ ~rade F~~EO AN 1s42Qg
ECp
S T,, LU ~~E ~ ~N ~Y FCA
RI• ?ED
• ~6e fFe a ~y ~ .
~ • 33
~LERK Cl~ ''orTk~S~IY:
. , - Rcuit couRr
.
l~r. Smith ie with H T PriQe Construction com an workin on the
P Y ~
installation oY the Pipe Line.
1 FURTHER CERTIFY that 1 will comply with all other requirements of a legal resident of this State.
1 FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT
.:~:~t:ii;1,~,
PIERCE, SAIf~(~1U~~~ITY, FLORIDA, permanently.
' ~
_ . _ _
: _ cr+• • _ (Name)
~ J • ' = ~[ildred Y. Smith ( ~[rs Floyd )
~ ~ ~
~ J ~ ~ ' _ _ . • ` .
C t ~•••"`J (Address)
Sworn to and suburibed before me this 8th day of February , ~q~_.
ROGER POITRAS
LERK CIRCUIT COURT Notary Public
B a``'!`'~"~ ~`'~"~7~~ D.C. My Commission expires
(To be executed in duplicate and originsl filed with Clerk Circuit Court, snd dupliute with Tax Asssssor.)
~ B~x 1 ~!U ~a~E 1~69 ~
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