HomeMy WebLinkAbout2411 De~laration ot Dort~icile and Ci'tizenship
TO THE STATE AND COUNTY TAX ASSESSUR,
Sl. LUCIE COUNTY, FLORIDA ~'~jA~I~
wws
This ~s my declarat~on of Domiuie and Cit~zenship in the State of Florida that 1 am fil~ng this day in accordance and
~n conform~ty with Chapter 222, Section 222.17, Florida Statutes
'S
I was formerly a legal resident of Dallaa Texss
(City) (State)
;
:
3210 Cha~?el Creek Ur.
and I resided at . _ _ _ _ _ _ _ _ _ _ However I have changed my domici~e ~
(Street and Number?
to and am and have been a bona fide resident of the State of Ftorida since Norember _ day of i
(
_ 19?
1__, and I reside ai _ 1513 _ 5unshi ne Avenue - Port St Luc ie f
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FIORIDA
and this statement is to be taken as my declaration of citizenship, actuat legal reside~ce and domicile in the State of Florida. ~
(Insert here any pertinent fads, such as sale of property or business, or refinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
IIanestead eaemntion purposes
f
~ci~ ~C$1~ ~ ;
~qGER PO IIA~
RIG4RD M~~ F
Ep 40Y~3
; ~I Z~ 2 il PM'~Z
' 2~41'76
~
E
t
~
~
~
r
i -
~
~
~
~
%
I FURTHER CERTIFY that I will comply witfi all other requirements of a lega) resident of this State.
~
~
~ I FURTHER CER7IFY that I have no intention to return to my former domiGile, and I intend to ~emain in FORT
~ FIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. .
~ ~
~ ~
~ - - - ~
(Name) Franc i a W. Wi 11 i ams
~ ~
Y
~
_ _
_ - • ` _ ~
- - ~ - (Address) ~
. ,
g ' W~ 21 February 72 ~
~ , Stivpe~~:~~1.p~scribed before me this - - day of , 19 _
_ . ~ ~
_ ; ~~•r~~,. #
- ROGER rO1TRAS -
- CLERK CiRCUR COURT Notary Public
~
- 3y _lL:~r~ D.C. My Commission expires
: (To b~ ~x~cvt~d in duplicats snd orisinal fil~d witl~ G~rk Grcuit Courf, snd duplicat~ with Tax Assesso~.)
= ~ ~aoK ~9g FaCE z4 ~
No 13 ~O
_ . , ' ~ . =