HomeMy WebLinkAbout2578 Declaration ot DomlCile and Citfzanship
TO THE STATE AND COUNTY TAX ASSESSOR,
1~3~ ~0
Sl. IUCIE COUNTY, FIORiDA:
i
This is my deciaration of Domicile and Citizenship in the State of Florida that I am filing this day in accordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of -__SCRANTON pA• _
(Ciy) ~ - ~ (Staro)
and I res~ded at __1128 Zu2erne $t. Npwever I have changed my domiGle
(Street and Number)
t~ and am and have been a bona fide resident of the State of Florida since ~5~ day of
______.MB~_ , 19~.4, and 1 reside at 903 B AVe.
(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 any pertinent fads, such as sale of property or business, or ~eiinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, et~.)
SCHOOZ
MII,DRED LOIIISTs PILSINGTON 8 eara of a e F~~ED AP,ID RECORDED
Y g ST, L:lCt~ CpUf:TY. FLa.
. Of~n
MICHAEL ROBERT PILKINGTOB 5 years of age ~ 1~3~
jo
70 a'~:y 28 AM ! I: 3 y /
j 1~c N ~
~ ~n p• ~
' ~:r ~ ~Rr
~ CLERK CiRCUtT ~OURT
f
I FURTHER CERTIFY that 1 will aomply with al) other requirements of a lega) resident of thia State.
I FURTHER CERTIFY that 1 have no intention to return to my former domiCile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~ ~ /1/ ~
\cy~= " C7
_ IDA D. PII.gI~GTOH
~ (Name)
~ 903 B Ave. Y. Ft. Pierce, Fla.
~
~ (Address)
Sworn to and subsSlibed before me this 28th day of Ya~ , 19~0 .
.;t~?~`•}~t;t;:
~ %'Ii, f~%, -
~ _ ~~L~K CIR~t1~A~:~R~' Notary Public
~
~ By D.C. My Commission expires j
~ . " ; ; ~
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(Yo, 6~~lci~~'~upliah snd o~~insl filed with Ct~rk Circvit Cou~f, and dupliut~ wifh Tax Ass~tsor.)
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~ BOOK 1~~ PA~F 7~
~9 ~~o. 13
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