HomeMy WebLinkAbout0720 D~claration ot Domicil~ ar~d Citiz~nship
1'73~6`7'?'
?O THE STATE AND COUNTY TAX ASSESSOR,
ST. Ll1CIE COUNTY, FLORIOA:
This ii my d~cl~rotion of ~omicile and Citizenship in th~ Stste of Horid~ that i am filinp this day in aooordana and
in aonformity with Chaptsr 222, Section 222.17, Flaids Statutes.
~ wss formsr~y a ~eqa~ residsnt of Tleugueck Conn.
(City) (Stat~)
and 1 rosidsd sf al~ Prospect Street
(Sh~t end Numbsr)
ro and am and have been a bons fide resident of th~ Staro of Fiorida sinoe ls t ~y ~
Z.akewood Park
~I January , 19 69, a~ ~~;~e ~ Winter River Park Drive
(Strset and NumbK)
1~ORT M~ S~AM1T LUC~ COUNTY, RORiDA
and this statament is to be taken as my declaration of dtizenship, sctual legal residenos and domidle in the Stats of Florida.
pnsert hero any pertiner~t facts, such as sale of proparty or business, or relinquishment of amployment
at former domicile. romoval of family to new domidle, purchase -of home, etc.)
~ntering children in school
Sandra and Robert both in Slementary school )
R~~~t@~ a~~
T~U
IE COUN~r~ l~1•A~'
R~~~n~;~tED.
3~E~
~ '69 ,lAM ~ pM Z 1~
I /i/„' ~
E
ROG POITRAS
~ C1..ERK IRCUiT COURT'-•
1 RJRTHER CERTIFY that I will oomply wHh all other ~squirerr~enb of a leyel rosidsnt of this State.
I FURTHER CERTIFY that 1 have no intention b retum to my former domiqle, an~ I intend to remain in FORT
PIERCE, SAINT UKIE COUNTY, FLORIDA, permanently.
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`~;~c;:
j;.. ; i:,,; , p,,ar„e~
; Robert C, Williams
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a9~.+L4saibed bsfore ms this 9th January ~ 19 69 E
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ROOiR rORRAt ~
CIRCtNT COURT Notary Public
gy ~ t~''~`'G ~ D.C. My Commission expiros
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