HomeMy WebLinkAbout2927 Declaration ot Domicile and Cltizenshjp ~
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TO THE STATE AND COUNTY TAX ASSESSOR,
51. LUCIE COUNTY, FIORIDA:
This is my declaration of Domicile and Gitizenship in the State of Florida that I am filing this day in accordsnce and
in conformiry with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of WeitbLil"y ~ I,OAg I~land lfew York
(City) (State)
and I resided at _~88 Irring StTeet . However 1 have changed my domir,ile ~
(Street and Number)
ro and am and have been a bona fide resident of the State of Flwida since 28th day of
- T1~rQ ~9 end I re:ide af 413 Skipper I,ane, Port St. Lucie
(Street and Number)
FORT FIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of cit~2enship, actual legal residence and domicile in the State of Fbrida. ~
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employme~t
at former domicile, removal of family to new domicile, purchase of home, etc.)
TO ESTABLISH LEGAL RESIDENCE FIlEO ANO RECOROEO +
- ST. LUCIE COUNTY F~~.
ROCER FOItRAS =
CLERK C?RCUIT COURT ~ ~
RECOR~ V-~ •FIED~ ~ ,
Ju~ 6 2 Zs PH 'rZ #
232~63
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~ I FURTHER CERTIFY that I wil) oomply with all other requiremsnts of a lega) resident of this State.
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~ I FURTHER CERTIFY that I have no intention to return to my former domivle and I intend to remain in FORT s
~ PtERCE, SAINT IUCIE COUNTY, FLORIDA, permanently. '
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PALMA WILLIAMS
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F (Name)
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~ 413 Skipper I,ane, Port St . Luc i e
. . ~ (Address) ~rlorida 33450
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~ . '.Swom to and subscribed before me this 6th day of JulY ~q~
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:ri RGGEIF ~O~AS
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= Notary Public
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gY D.C. My Commission expires
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(To b~ oxocut~d in duplicate ar~d oriyinal filed with G~rk Grwit Court, and duplicats with Tax Ass~sfo~.)
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„ A a~~ 203 ~,~9~'7
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