HomeMy WebLinkAbout1424 D~la~atiOn Ot DOrt~faii~ and citis~nship 17'41.84
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. ltJC1E COUNTY. FLORIDA:
This is my dscluation of Domicile e~d Citize~ship in the State of Florida that I am filirq this day in aooa~da~ ~nd
in oon~mify with Chspter 22Z, Section 222.17, Rorida Statvtes.
i w~ f«~iy a i.~i ~es~nt o~ Clearwater . Floride i
Kiy) (Sta»)
1305 Jeiiorde Street
end 1~idsd et Flow~vK 1 have charp~ci my domidle
(She~t and Number)
ro and am and have baen a bo~a tide ms'~dent of the Stata of Florida sinos `T~e daY oi
~ 19 68 a~ ~ 175 El Sito Court
(Stroet and Number)
fORT N~, SAM~IT LIKIE COtlNTY, RORIDA
and this statement is b be taken as my dedaration of citi~enship, actusi legal ~esidenae and domiale in the Stste of Horida.
pnsert hem any pertinent fads, such
a~- le of propery or busi~ess, or rolinquishment of employment ~
at formar domicile, ~emoval of family to new domicile, purchase of hane, et~c.) ~
FI~ED AN~ RE~C~QROED~. ,
ST. LUCIE COURNi
iEDLA. ' - ~
RECORO VE
l~'4~.84
for homestead eaemption ~9 , Z~ ~{Z ~ Z
ii?~ `
R ER POITRAS
ELERK CIRGUIT COURT. ~
~
~
;
~
~ '
1 FURTHER {~RTIFY that 1 will corr~ly with all otF~ rec~uinrr~snfs of a Ispal rosidant of this State.
I FURTHER CERTIFY that 1 have no intention to retum to my fonr?er domicile, and 1 inte~ to remain in FORT
PIERCE. SAlNT LUCIE COUNTY, FLORIDA, permanently. g
C ~ y
(t~ame) ¢ Bathe Ann Billinga
(formerly Bathe Aan ~[cgain)
~
~
~ (Add~ess) ~
,
~
27th January 69 '
S~woj~ ro and w~scribsd before me this dsy of 19 .
S; .
s~T-'1t~L:~i,..~1~, . .
~ ~~i
ti ri
~ ..C~[•Cd1f~T- ~ Notary Public
=
~ = Sr'•~~:~`?.E' - .O - d~
gy D.C. My Gommission expims
~ ` ~ .t`'~-:
~
~
j ; . l~~'. ~ V
- v.~ ~ ~ i1~f ~ ~ MfW~ ~ ~ ~
~ ~
~!!1l r . :
_ .
1i0. ' ~VUIIl~ T/1YC~~
~ ~ - - - - ~ _ X;~'-~
r
- -
_