HomeMy WebLinkAbout0958 Declaratio~ ot Dor~icile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
ST. IUCIE GOUNTY, FlOR1~A:
This is my aeciaration of Oomicile and Gitize~ship in ths Stats of Florida that I am filinq thi: day in aooo~danos e~d
in aonformity with Chapte~ 22?, Section 222.17, Fiorida Statutes.
I was fofineriy a legei ?osident of BB,j(pOZ't New York
(Cify) (State)
. 469`Bayport Ave. ~
and 1 resided at . However I have changsd my domit3le
(Street and Number)
ro and am and have been a bo~a fide resident of the State of Florida sinos A~u$ ~ day o~f
, 19~, snd 1 ~eslde et Route 2~ Box 2770-- 2 •
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual leqal ~esidenoe a~d domicile in the State of Horida.
(Insert here any pe~tinent facts, such a: sale of property or business, or rolinquishment of employme~t
at former domicils, renwval of family to new clomicile, purchase of home, etc.)
Filing for homestead exemption 1884~ ;
_ ~
~
n ~
~ ~ ~rm
m
~ n A O
. ~C~ y ~mZ
n~ ta On0
. <O~
n -fl ;n G rn
=1~ ~ ~ ~O •
~ n D N n'~ O
~ C N • • 'ri ~t1
~ ~ W O
~ ~
_
~
~ ~t
E
! '
I
~ 1 FURTHER GERTIFY that 1 will oomply with sll other ~equiramenis of a(e~a) resident of thi: State.
~ I FURTHER CERTIFY that I have no intention to retum to my forrt~ domitile, and 1 intend to remain i~ FORT
~ PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. '
~ ~
~ •
~ -
~ ~ ( ~ me) William J l~acdonald
~
v (Address)
~
~
~ ,~5~" 5wom to end subscribed before me this 19 day of J8nu82'y 19 ?0
~ - '
~
~ ~ROitiER• POITRAS
~ .•CLERK Ct~tCU1T COURT Notary Public
~ _ ~ - ' i
~ By. D.C. My Commis:'an expires ~
t.
s~ ~ ~ ~ '~t.. :
~ ~ .il.. a-. ~
~ - . ~ :
~ ._Ra: t» :.x~arhd i~ duplicat. and ori~insl fil.d wnb CNrk Grwit Cou~, and dupliat~ with Tax /4s~swr,?
~
~ , ~ooK PAcE ~~j .
t_ 3 .
~T , - - - -
~ ~
~~"r~
*~er-~~~.Kw_.n - :