HomeMy WebLinkAbout0215~~ ~: 268
Declarotion of D~1~~~ citizenship
TO TH$ STATE AND COUNTY TAX A88>it8801;,
Q*_T,mrs vovrrrr~r, I~ozmA:
This is my declaration o! Domidle sand Citlsenahip in the State of P7orida that I am tilutg this day in
ac;oordance. and in conformity with Chapter 22L, Section ?.22.1?, Florida Statutes.
i was formerly ~ Cleveland' __ __~~_~_ ~_ Ohio ~--___-__---
a resident of____..__...____. -' -(~)
(G4)
1900 =. 30_ th 8t. _--------- - ------------- However, I have changed my domidk
and I resided at----------- --------------- --------_____-_._. - -
(etrMt sad Na~tabor)
to ~d ~m and':°ve ~e-n a b^!~ ~ rss*i*~t of the State o! Florida since___---let-------------------------day of
Janus Y'# _~_. 18 61 , and i reside at__ ~ ~ 8 Bow 144Y
_-- ---- -------- cet:..c ~a x,~~
_ Fort Pi era
S~~ Lnoi4----~---___.-__------County, Florida,
cat,
and this atstetneat is to `be taken as my declaratioat of dtisenahip, actual legal residence and domidle in
the State of F7ortda.
((Laort Lore aavr portiaont facts. sveti as ~alo~_ _yu0i~7 or o. ~e~ni~Lmset of wetDloym~at at
lotmor dotsieiia. t~onso~tal of lataib to taw io>~. Dnrebsw
Joint ownership of property with Paul J. Hall
.~ :.
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I~ uUUI~
1961 JAt1-5 ;'i' 3: 18
Si. LUCIE CUUNtY, FLOn.~A ~
/~
I FURTHER CERTIFY that I will register at my local address when the registration books reopen,
and oomp~- with all other requirements of a legal resident o! this State. -
I FURTHER CF~TIFY `..Let I '.t-rs ~ iat~ti~ is r±~.~ to m,•r te~a~ di>~iei_1_e; ~ I Intend to ~rem-in
~ Fort Pietas ~~ St.I.aoi• _~~,~ gl~~
mane H. gai~ez ~1 -`
Sworn to aa~i ;e~;'~~,' --~--.ay a[
~ ~ - ~ j j
f•~
cwaat...~
• -., , ~ -
(r. bs saeese.i is doali..a ar .rlelttt s1e+ wi~i c~seB await aaet..ad iooikaa wlth "1'stt •eo.eme)
a.w.. Mt+D~7 Cs., )Mast C>q. >/hh.
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