HomeMy WebLinkAbout0363~~
DeclarQtion ofSD~iifdil~~+~Ci~is~ip
TO T81~ STATE AND COUNTY TA7C A88>i~80Be
3ai nR I.nai • QOVN'1'Ye 1RABIDA:
This is my declaration of Domicils sad (xtisensbip in the SLte of P7orida that I sm SHns this dsy in
accordance, and in conformity with Chapter 282„ Section 218.17. P7~orids $tatntes.
I wu faemerb- s leaal residsnt of ltew 7or>< City x• T ...!___.
t~~? ~. ~ ~ !iii?
f1i Ole ~i ~1$ FiiF-~'~nri.~ i-,T_ "_--
and Iresided az.._------_--_-----'----_._.. - ------------ invw6"vEF, ~ usv~Ci++~4~i+d uyr uuuii~fio
(84w~ aed I~Iasba)
to and am and have been s bons lids resident of the State of Florida since---------- -------lst___-___-___day of
ah___ ..~__~, 19 ~, and I reside at.___ 1909 ~o41eg Ass,
-------------_l_~~ ..._ -- --------_._-_----
No~)
1-ortPieree ~ ~ ~ (~O1e - ~q,~ Florida,
ccca)
and this statement is to be tsken u my declaration of dtisenahip, actual legal residence and domicile in
the S~ste of Florida.
fo~ o =~t,~ toe ~domieW. os ad~ ~i~s~ntsLt~at o! t~~lO7~t at
purchased a new hove here
913'7 0
11.E0 ANO SEC KOE K
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1Q~ . '1,'` `4 rt ~,.y
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'~ L~yCiE /~ `
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I FURTHER CERTIFY that I will register at my local address when the registration books reopen,
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.~ i.. ...i• ii •i. ^ a+ma iaia+ E ii tiia ~7iaa.e.
aiau wuaNa,~ v~aa.Z's ou Cfa.aacT ira'j:SSI'a°.'.SS~SIL'.i tIZ l.,e_! ilL"R___I!_ ! !-[_-_
I FURTHER CERTIFY that I have no intention to return to any former domicile, and I intend to remain
• ~ort___Pierce St Lucie ~ty~ g'lorida,
m_____------------- - - - -_-----------------------------• ---- __-_____ _---------------_ ___
(c~cr) _ ,
permsnently. Q/t'{' Cc'c'`'`"~z=--
(Nata~)
>~arold J.Treinor
SWOrn to and subscribed before me this.9 -----_--day of
_ .__ ~~auarZ- _ ~____, A. D. 19 61
Pablk $tsto a~ glol'~da at Ia~~
My Commiuion ezpires_ Jan . 1St 19 d4
-. ..(Addfw)
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.•~ -.fit •,~~..
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(To bo e:eented in doylkatt and oriRfnal bbd witti Aee1c wr•k `-'~W
with T~s as....oz)
Bowen BnDDb Co.. Ptant CIt7, Pia.