HomeMy WebLinkAbout1942 Decla~ation ot Domicile and Citizenship 164655
TO THE STATE ANO COUNTY TAX ASSESSOR,
51. IUCIE COUNTY, FIORIDA:
This is my declaration of Uomicile and Citizenship in the State of Florida that I am filing this day in accordance ar?d
in conformity with Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a legal resident of .________HudS~I! MaS3. _ ;
(City) (State) ~
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and I resided at 56_ OAt8i10 ~ii Ve However 1 have changed my domitile ~
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since -~th _ day of
August_ ~4? and I reside at 110 Banyon Drive
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actuaf legal residence and domicile in the State of Florida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Establishing residence Ft~ED At~D RECARDED {
S ~LC~E ~QUt:TY. FLA. i
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164655
'~8 FE8 2 3~M 1? : 53
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~I_Ei2'rt CIr~CUIT COURT _
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s I FURTHER CERTIFY that I will oomply with all other requirements of a legal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
.~v i
~ • (Name) '
~ Kathleen M. Pickthall C Mrs. Phiilip ;
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~ ~ Sw'qtn~~o~a~jS'~scribed before me this 23 day of Feb• ~ 19 68
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~ ROGER POITRAS
' C K CIRCUIT COURT Notary Public "
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~ gy ~ ~ D.C. My ~ommission expires
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(To be sxscuted in dupliuts snd ori~insl filed with CIKk GrcuH Court, and dupliut~ with Tsx Assessor.)
~ ao~K~70 PACf1937
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