HomeMy WebLinkAbout2187Oeclaratloln of Domicile and Citisenship
TO THE STATE AND COUNTY TAX ASSESSOR,
51. I.UCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in aaordanw and
in conformity with Chapter 222, Section 222.17, Florida Statutes
1 was formerly a legal resident of
Rook Hill
(City)
1335 Joyce Court
and I resided at -
(Street and Number)
S. Carolina
(State)
However I have changed my domidle
to end am and have been a bona fide resident of the State of Florida since --.Alig.. 28 daY of
19_~, and I relicts at Q.~ 9 n T1Pl Awa*e Ave _
(Street and Number)
FORT PIHtCE, SAINT LUCIE COUNTY, RORIOA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Honda.
(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.)
Ronald, Robert, Jr., victor, Margaret, David, Debra Pittman
Entering Children in public school
F.~LFO pElp RECOROF~A.
~~ t:ttCiE COUNTY.
.~ t r !F•E
:,crn~: ~._~
1 Pty ~ : 23
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a~ . -,
CL~FZK GIRCUIT COURT
1 FURTHER CERTIFY that 1 will comply with all other requirements of a legs! resident of this State.
1 FURTHER CERTIFY that I have no intention to return to my former domicile, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
SiKOit~~ fo~Asld wbsuibed before me this
y '` ~~ uRT
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gy ~ D.C.
rr
6z~~ctt1
(Name) Robert S Pittman
(Address)
-day of September 19 69
Notary Public
My Commission expires
(To be executed in duplieab and original filed with Gerk Cirailt Card, and duplicate whh Tax Asaesaor.) .
i+lo. 13
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