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HomeMy WebLinkAbout0874 D~la~ation ot Domlcil• a~d Citis~nship TO THE STATE AN~ COUNTY TAX ASSESSOR, ~~QQ~ ? v0 Sl. lUC1E COUNTY, fIORIDA: This is my daclaration of Oomicile and ~tizenship in the State of Florida that I am filinq this day in aaoordana and in oonformity with Chapter 222, Section 222.17, Flo?ida Statutes. Kingston J~.maica i 1 was formerly a le~al resident of ( (~iy) (Stah) ~ • ¢ and 1 residsd at University Cresent . Howevsr ~ hsve chan~ed my domia~ ~ (Strset and Number) i ro and sm and have been a bons fide res'~de~t of the Stab of Florids sinos lSth ~y August . ~q 68 , a~ ~~ide at 422 Oleander A~e. (Sirset and Number) ~ n~, s~a~ wc~ couNnr, ao~nw and this statement is ro be taken as my daclaration of citizenship, actual legal residenoe and domicile in ihe Stats of Horlda. (Insert here any pertinent facts, such as sals of property or business, or mlinquishment of employment at former domicile, removal of family to new domicile, purchase af home, etc.) Bstablishing residence and applying for homestead FILED AND RECQR FLA. ~~RECOftO VERtF1E0 1`73801, '69 JAN i 3~ Z: o i f f ROGER P~~ RAS ; CLERK CIRCUtT COURT; l ~ ~ i i FURTHER CERTIFY thst I wiil oomply witft all other roquirerr~snh of a Ispal msident of this State. I FURTHER CERTIFY that f have no intention to retum to my former domicjle, and I intend to remain in FORT PIERCE, SAINT WCIE ~OUNTIf, FLORIDA, permanently. ,,i,~<<~~~:r~r~ : ~L%~( ::..y`~ o~"'~, ` - ~ ~7 ~r~ - . ~ \ ~ ! , ~ G . _ ~ , ~ ~J ' ~ ' ' . ~ . • , ~ ~ . (Na^~e) : = f . -i.'".°-.~. ¢ _,3_, Wil~iam Gl Lattimer M ' V - _ - : ~ ~ S _ • ~ ~ ' l7'.~~ ' - ~ ~ - ~ ' . : ~ ~ (Address) ~ . : ~ . . ~ : ~ ~ vc.~'`~,,,~ 69 ~ S~worn'i~o ~and subsuibsd before me this 13tb ~y of JStlusry , 19 . ROOER rOITRAf CIiRK COIIRT Notary Public ~C~~ D.C. My Commission ~xpiros R~ M~aaail~i M~kMS a~ ~iaiw~l f~i will~ Cl~k GirerM Gw~. a~i irplicaN will~ Tac Aw~,1 ~ S~1'?'S ~ 8'l2 _ . - _ T, : . ~ . w~-~.~.. ~ a... ~ ~"i _'"i~ ~ ~ ~ ~ . . sv2~'u~C~r ~'v,'r.` 3~`~1'i'E ~°~4_.~ ~.1:~ ~ '-S~"x`k+~,~..~ e .