HomeMy WebLinkAbout2873 i ~
~ecl~~atio~ ot Domlcil• And Citise~ship ?
TO THE STATE AND COUNTY TAX ASSESSOR. ;
,
Sl, IUCIE COUNTY. FIORIDA:
.
This is my declaration of Domicile and Citizenship in the State of Flotida that 1 am filinq this day in aooordanoe and
in oonformity with Chapte~ ??2, Saction 222,17, Florida Statutes.
1 was formerly a legal resident of M~Lnta i n Hn~na North Carolina
(City) (Sta»)
and 1 ~esided at _ Doq3e152~d *Jrive j~.~.~~ ~p~~r
1___A~1~___ . However 1 have char~yed my domic3le
(St~eet and Number)
to a~d am and have besn a bona fide resident of the State of Florida since 28~ day of
November , ~q 68, a~ ~ reside at 243 W~hispering Creek Village
(Street and Number)
~ORT PIERCE. SAINT LUCIE COtiNTY, FLORIDA
and this statement is to be taken as my declaration of cititenship, actual legal residence and domicile in the State of Florida.
(Insert here any pertinanf fads, such as sale of properfy or busineu, or relinquishment of employment
at former domicile, removal of family to new domicile, purthase of home, ett.)
FILEO ANO RECORDED'
ST, LUCIE COUNTY. F~A. `
. . p~ C£?~i~ V~R!FI~p j
` 1'7'?,346 '
'69 • APR 22 PM 2; yQ ~
qJ~.~.cl
r;o~:'-~
oi~ns . ~
CLERK CiRCU1T COURT
i RJRtFIER CERTIFY that 1 will oomply with al) other requlrements of a legai resldent of this State.
I FURTHER CERTIFY that I have no intention to retum to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently., except for vis ' ts to other areas .
.
.
(Name) ~~R a. WILLIAMS
' (Addreas) 243 Whispering Creek
~ Villaqe
~ Fort Pierce, Florida
Sworn to and subscribed before me this "t , 19,~9
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ROGER POITRAS "
CLERK CIRCUIT COURT ' j~. " ~,TV ~ Publk
BY .~r~stv c~if Notary PubRc. State ot Fbrida at La
D.C. ' ' g
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~ 1,.~,'•~. ~ys +r' bf~ ~a~rqe~ic~ btseuenc6 C0.
ie
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(To b~ ~ncvhd in dupl=sat~ and ori~inal ~il~d whh CIKIc Grarif CI~~; ~nd duplieata whb Tax Aaa~or.)
60~(1~ P11~E~~
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