HomeMy WebLinkAbout2876 Declaration ot Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
;i. tUCiE COUNTY, FIORIDA: ~C~~~~~
This is my declaration of Domicile and Citizensh~p in the State of Fl~rida that 1 am filing this day in accordance and
~r~ conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of ~eT~d~Bri_ _~BHi
~C~N~ (State)
and I resided at fluti~e 6 _ _ . However I have changed my domic,ile
i5treet and Number)
r:, and am and have been a bona fide resident of the State of Florida since QCto~er 2$ _ _ day ofi
, 19 70 , and I reside at 1002 Cherlotts Street
- - - -
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNiY, ~t~RIDA ~
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 facts, such as sale of properiy or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Entering children in pnblic school -
Andrew, Wi 11 iam, Brenda ~ Debra 1[cWi l lf ams \ ;
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F~~EO ~NU RECOa~~~
ST.lUC1E CQ11MTr
ItOCEa POITA~s S~
CIERK CIRCUIT QO~~T
ttECORC VEit~F1E0 ~.••••~'y
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I FURTHER CERTIFY that I wil) comply with all other requirements of a legal resident of ihis State.
~ I FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend to remain in FORT
~ pIFD~~, co;~;~ ~(~CIE COUNTY, FLORIDA, permanently. `
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~ (Name) ~heeter L. ~[c~Yillieme ?
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~ ~ ~_-~qa~}c~sabscribed-before rn~.this -_~Q-- day of _Ac$obes - - 19-Zt1_.
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; f~l~~~ COURT , Notary Public
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Ely ~ D.C. My Commission expires
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~v; (To be ~xecuted in dupliuts and origi~sl filed witfi Clerk Circuit Couef, and duplicats with Tax Assessor.)
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