HomeMy WebLinkAbout0860 i~19
acla~atlo~ of Domiail~ and Citiz~nship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl, ltJC1E COUNTY, FLORIOA: -
This is my decla~ation of ~o+nicile and Citiienship in ihs Sqro of Florida that 1 am filin~ this day in aooordana ~~d
in oonformity wifh Ch~pter 22Z, Settion 22Z.17, Florida StatuMs. _
I wss formerly a Ipal roskknt of NeM YosY N. Y.
(Ciy) (Statr)
and I rosidsd at 336 BaSt SOth St sett my ~~k
(Street and Numbsr)
ro and am and have been a bona fide rosident of ths Stste of Florida sinoe Ju19 1 ~y ~
, t9 68 , and ~ rsstde at 169 Libertq Way
(Stroet and Number)
roRr n~. s~?a~ urc~ cou~r, ao~w
and this :tst~rient is to be taken aa my deds~ation of citizenship, ectuat legal r~idenos end domidle in the Stet~ of Floridi.
pnsert here any pertinent fada, such as sale of property or busi~ess, or relinquishment of employm~nt
at former domicile, rerrwval of family to new domicile, purchase of home, stc.)
Placing children in public schools
Cameron & Loren Williams
FILEO ANO RECORDED
ST. LUCIE C~UP~TY. FLA.
:RE,COfiD VERIFIED
~
I
~ '~~,y~ 26 r~~~ z : ~ 9
` i6'S'919 t
:~(~r:E=~? ~U~7R:,$ i
CLERK CIRCUIT COURT c
. 1
4
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1 FURTHER Gf~tTIFY that I wili comply with ali ofhsr roquirom~nts of a ipal ~idsnt of thb State. ~
I FURTHER CHtTIFY that I have no intention to retum to my former domic,ile, and I inte~d to remsin in FORT
PIERCE, SAINT. LUCiE COUNTY, FLORIDA, permanently.
_ • ~ ~
.,.:tr; ~ ~ V~
~ ~ Ruth Will ama
_ ~ . (Name)
' , •
. .J . ; ~ - (Addross)
' ~ ` 26tb ~ Au st 68
'~~i to and wbsuibed before me this dsy of . 19 .
- ROa~ ~O~RAS
CLERI( C~CUIT COURT Notary Public
, .
By O.C. My Commission expiros
Re b~ ~oawMd M d~pNa1~ aad o~iai~ai fll~d wid~ CMek G~ Cow~, and d~ptkaN wi11~ T~oc A~o~J
j ~ ~i~3 ~ 85~