HomeMy WebLinkAbout1221 Decla~ation ot Domi~ile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR.
Sl. LUCIE COUNTY, FLORIDA:
This is my declaration of Oomicile and Citizenship in the State of Florida that 1 am filing this day in actordance and
~n conformity with Chapter 222, Section 222.17, Florida Statutes.
I was forme~ly a legal resident of NOl'WOOd OhiO _
(City) (State)
and 1 resided at ~?Z~~ HgI'I`18 AV@ However I have changed my domicjie
(Street and Number)
to and am and have been a bona fide resident of th~ State of Florida since day of
_ , 19 , and ! reside at 1613 Thum~1 Poi11t D2'ive
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Horida.
(Insert here a~y pe~tinent fads, such as sale of property or business, w relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
~illiam A Anderson is in the Armed forces, Air Force
who wil~ r~tire in Oetober, 1970 end egpects to make this
his permenant.home at Thumb Point.
,
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c~~ r~.
• =~c.v i:itiu nC~,VKUCU
' S'~• ~t1~1~ ~^UhTY, FLN.
~ _ ~190850
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C(_~RK ~';~;~ST COURT
1 FURTHER CERTIFY that 1 will oomply with all other requi~ements of a legal resident of thia State.
1 FURTH~R-CfRTIFY that I have no intention to retum to my former domi4le, and I intend to remain in FORT
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PIERCEt.,$uAINIT'1~1~}~IE COUNTIf, FLORIDA, permanently. ~ ,
~ ~ , . : ~ ~i A
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~ ' • ~ = a : William a A ~ Anderson
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a~ • ' ~ ;y~
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~ ~ ~ ~ (Address)
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'y Sworn to and subscribed before me this Qth day of Mareh , 19~. -
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ROGER POITRAS
LERK CIRCUIT COURT Nota Public
ry
~ 8y °~--~`L~ D.C. My Commission expires
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~ ~(To bs exesuted in dupliab and oripina! fil~d with Gerk Greuit Cou~l, and duplicat~ with Tax Auessor.)
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BOOK~~e) PAGE~220
t~. 13
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