HomeMy WebLinkAbout0717 Declaration of Domicile and Citizenship
TO THE S"fATE AND COUNTY TAX ASSESSOR, ~~~1~8
S t. L u c i e_ ~pUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that ! am filing this day in
accordanc:e, and in conformity with Section 222.17, Florida Statutes. -
Stuart
1 was formerly a legal resi~ent af _ _ and I
W e n t w o r t h D r i v e cc~~y~ ~ ~ ~sc,~e~
resided at . However, I have changed my domicite to
(Street and Numberj •
and am and have been a bona fide resident of the State of Florida since A ug u s t day of
15 , 19 68~, and 1 reside at 1116 Club Drive
(st~~.oa N~me~)
F t. P i e r c e . S t. L u c i e County, Florida,
ccti~r)
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida.
(Insen here any pettine~t tacts, such as sale of property or businas, or reli~quishmeni o! employmrnt at former
domicile. nmoval of family to new domicile, purcAase of home, etc.)
This Domicile is not only given to est a.blish
my residency, but also that of my children ~
JOHNG~~~~ WOODALL and NANCY JANE WOODALL.
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~c ±ci~cfu,r tO~RT ,p~ t
RE~D ilERtfl€0~¦~.~.~
~ ~ ~
~~1'78
I FURTHER CERTIFY that I wili register at my local address when the registration books reopen, and
comply with all other requirements of a legal resident of this State. ~
I FURTHER CERTIFY that I have no intention to return to my former domicile, and 1 intend to remain in
Fort Pierce
St. Lucie
, County,
Florida, permanently. cc~tr)
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~~~i~a... : ,s~~~' - (Address)
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~~9~qrtf'tn ~tQ~sgxibed before me this ~ day of ~
~ '
~ '~i~; ~
. . ~ A.D. 19 'Z~
Public State of Florids Ee
/ aooK 201 ~~E .716
My Commission expires ~ - ~(P - : _ _
(?o be executed io duplicste u+d oriaina! fied wilh Clerk Circuit Court, and duplicate with Tu A:aeator)
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