HomeMy WebLinkAbout0395Declarattoin of Domlcila and Citizenship
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TO THE STATE AND COUNTY TAX ASSESSOR,
ST. IUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citiienship in the State of Florida that I am filing this day in aocordantx and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of R rnnlr 13 ne MgS S .
(City) (State)
and 1 resided at . SO A1tOO Place _._. However 1 have changed my domicGle
(Street and Number)
b and am and have been a bona fide resident of the State of Florida since 21st day of
une _ , Iq 69 , and I reside at 301 Holly Ayenue~ Rimier Part
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
(Insert here any pertinent fads, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.) ,
Establish Residency
sT, ~~~AkO RE~~R .
RF~~R~ ~ER1FyEO~~
'69 aUG y ~81~.I
Ply t2: 33
ELERK ~ R~UIr R"S
co~Rr
I RIRTHER CERTIFY that I will comply with all other requirements of a legal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
(Name) Williti~ M. Miller
.: ~ :: ~. , , (Address)
;•ti;..
L ' ~• ;.
`J ~ SwotR:~o,e~ii.subxribed before me this d~fh day of AL rst , 19.4.
.. _ o
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. ROGER iP~O1TRAS
~~ - CLRRI( ~i~CUIT COURT Notary Public
., ~~;~ .
By~~ f ....•. - ' D.C. My Commission expires
(To ba axaavMd in dupliub and original filed with Clark Cirwit Court, and duplicate with Tax At~saor.)
gooK~79 ~ 395
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