HomeMy WebLinkAbout1033 Deciaration ot Domicile and Citize~ship 1'739Q'7!
TO THE STATE ANO COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FIORIDA: ,
This is my declaration of Oomicile and Citizenship in the State of Florida that 1 am filing this day i~ accotdante snd
in co~formiy with Chapte~ 222, Sectio~ 222.17, Florida Statutes.
1 was formerly a legal residenr of _ Cincinnati _ _ Ohio
~C;y~ (State)
and 1 resided at _._~2s Burr Qak However I have changed my domicile
(Street and Number)
to and am and have been a bona fide ~esident of the State of Florida since 13th day of
November _ , 19
68, and 1 ~eside at 1403 Florida Ave.
(Streat and Number)
FORT PIER~E, SAIN? LlJC1E COUNTY, PLORIDA
and this statement is to be taken as my declaration of citizenship, actual ~egal residence and domicile in the State of Florida.
(I~sert here any pertinent facts, such as sale of property or business, or ~elinquishment of employment
at fo~mer domicile, removal of family to new domicile, purchase of home, etc.)
F~LED AND RECORDED
~T• LUCIE COUNTY. FLA.
Nt-~ORp V~RIFrED
17'39p'~
'S9 JA~ 16 P~1 3: Q0
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RO'' PO1TRtiS
~I IRCUlT COURT
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I HJRTHER CERTIFY that 1 will oompty with all other requirements of a(egal resident of this State.
I fURTHER CERTIFY that I have no intention to retum to my former domicjle, and 1 intend to remain in FORT
PIERCE, Sq4~IT LUCIE COUNYY, FLORIDA, perm~nently.
- ~ ; ' `%l/
t~ ~ ~ ~WILLIAM C. VODD$
. (Name)
. ~
, , , ~
~ ~ 1403 Florida Ave.
~ . ' ~ (Address)
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~ Sworn to and subsuibed befare me this 16 th ~y of lanuary ~~q 69,
ROGER POITRAS ~
GLEBK CIRCUIT COURT Notary Public
By I D.C. ~ My ~ommission expires
(To b~ ~x~cvl~d in d~plicat~ and ori~inal fil~d witi~ C1~rk Cirwit Co~rt, and duplicat~ witb Tax Asa~sso?a
_ aoox 1 ~J r~cE
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