HomeMy WebLinkAbout2324 Declaration ot Dor~nicile and Citizenship -1"~2~G
TO TNE STATE AND COUNTY TAX ASSESSC~R,
Sl: LUCIE COUNTY, FIORIDA:
This is my deciaration of Domicile and Citi=enship in the State of Florida that I am filing this day in ac~oordance and
in oo~formity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of _~1 d GreeII~eiieh. ~=~*+neni-~n»t
~~ity) (State)
and I resided at u Shol~e Road . However 1 have changed my domiGle
(Street and Number)
to and am a~d have been a bona fide resident of the State of Florida sinoe 'th day of
December ,~968 , and I reside at 113 Placita Court, Port St. Lueie, Florida.
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Ho~ida.
(Insert here any pertinent facts, such as sale of property or busineu, or relinquishment of employment
at former domicile, removal of famity to new domicile, purchase of home, etc.)
113 Placita Court, Port St. Lucie, Florida.
Lot 20, Bloek 71, of RNER PARK SUBDIVISION, IR~IIT 7,
a subdivision aecording to the Plat thereof, reeorded
in Plat BoQk 12, pages 41 and 41A of the public records
of St. Lueie County, Florida. Said property being in
St. Lueie County, Florida.
~i ~p ANp REC~Y~fLp,~~~
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1 FURTHER ~ERTIFY~ ~~11L~p1~ witfi all other requirements of a leya) resident of this State.
CL
I FURTHER CERTIFY that f have no intention to retum to my former domi~ile, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permane~tly.
. ~
(Na )
Edward P. Millard
11 3 Pl ae;ta COL~'i Pnrt- S_.~c+iEs ~ 1 nridg~
(Address)
Sworn to and subsuibed before me this ~ h~ day of De mh~r' , 19~iS_•
. ~
ROGER PORRAS '
CLERK CIRCUIT COURT . 1 j ~'''••..,Notaty Public
; ~ ,
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gy D.C. y MI~~Eor~t+~issi6,ji=,ex~r~s
- : o : ' ' ' • t . ~~p~ fYBUC. iTATE OF iLORIDA AT LAl1~E
. ~ o.. i ;:rY COYYIiitON EXPtIIEi M6~. d~ 1872
~ . • 1•~ : . -~~OND[D ~MR01jOM ? 11[D W. OMYTE~.N01~1?
(To b~ ~xseul~d in duplicat~ and ori~nal fil~d with 'Eq~~i' ~ninl~ . dupliat~ wilh Tax AsMt~or.) 7~.
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lo , n.
_ ~ r~ ^ ~ ~ A~ a~K 174 ~~E 2319
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