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Home My WebLink About0954. ~ - ~ Harry Magner o. e: ~ 2. 3~7 - Declaration' of Domicile and CitzenshipB00~ ST, tl1CIE COUNTI', ALA. TO THE STATE AND COUNTY TAX ASSESSOR. . Saint Lucie COU~y, F-I,pRIDA: This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in accordance, and in conformity with Chapter 222, Section 222.17, Florida Statutes. Niles ~~~ - I11. ' I was formerly a legal resident of------ - --~ - - ------ ----------------------- ----- ---------------------. --------- ------- ------------------------ (City) (State) aiicl I resided at 89©1 I~ilweukPP _Aqe~---- _ However, I hA.•P rhs~ngarl my domicile to and am and have been a bona fide resident of the State of Florida since 2GLn day of i~(,iV-biiiuC3_ UV~ nA3 Oltfjra 11<tT'PAt _RivPrPark - - , 19 -- -, and I reside ut ---'-~-- -----=--- -- - ----------_----'--------- --- - ---- - -- --- ------ - - -- (Street and Number) - --- ---.Fort Pierce -------- - --- - - - ---St-~-Luc ie----------- ---- --- ----.County. Florida, - -- - (City) . and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida. (Insert here any pertinent facts, such as rile of ,Property or business, or relinquishment of employmatni at former domicile, removal of famil7 to new domicae, talicisse of uv.:.:.:tt.1 Establishing ho~lestead ~~ f,~ i, F~~~e nt~o KE~u~~~~~ -- '~' r:, , : 2 ~ 1n: ?7 .~L..; •, Si.l~ ~ .. I FURTHER CERTIFY that I will 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 fot=ui~ doii,iC;ilc, and I intend to rem.Ai., in -- ----- - r ort -- Pi>src a -- -- - - - ------- , St .Lucie - _.--- ---- --County, Florida, -- (City) ~ permanently. Jr ~,~~,; ~. 1 ~ -'- ~=='-~'~~.~~„------ -- - - - --------- (Ala~te Harr? H. Wagna'~ (Address ) Sworn to and subscribed before me this- 21. -- .day of .-, ~ ~ ~ ~ , ~ . •. . , - 1 ~•~ - ,_, ., t ~_ ~ '. j Notary Public State of Florids at Large t' '~.: `' - c '- :.~ January 15, 1964 ; .~; .;•,-.:...~ ~,1~.~ My Commission eaPires---- ------------------------•------------------ ~ '•~ .~ 1 (To be executed in duplicate and original filed with Cleric Circuit Courk sad duplicate with Tax Assessor) ,t r,a-.•n Suopiv l'o.. 1'Isnt l'H1. Fle. .