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BOCK
Declaration of Domicile and Citizenship sT. ~',ciE couNTY, ~~a.
TO THE STATE AND COUNTY TAX ASSESSOR,
Sa intLuc i e COUNTY, FLORIDA:
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 222.1?, Florida Statutes.
I was formerly a legal resident of----- - NPR -York-- ~i-tp------- -- ----------- - - --- • ----------------- --------------N.Y.-
(City) (State)
and I r..sided at.14 PeWt~t~ ?-~~~,~1-Q4tsyillE.. -L. x, - However, I have changed my domicile
(sweet sad Number)
to and am and have b~^en a bona fide resident of the State of Florida since 13 -day of
5egtember ___-____-~ 19_____g~and I reside at_815_Soutih__6t_h street
------------- ----- ----------- ------------ ----- --------
- --- - - ------------------------------ -
(3treet and I~'umber)
FortPierce ---------------- ---------St.Lucie------- ----- ---- ___--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.
(Ir~ri nnre any periinens iacis, loco as sale o£ ~pproperty or business. or ralinquiaument of empioymeat at
former domicile. removal of family to new domicUe. purchase o! home, ete.)
Entering William Schneider in 8thgrade
~31_E~(~
Fi(~l ,~~!~ ~"CO"~~-1
_ ~
.~ . ; . -,
_ -._ - - ..
'~~ - - --
~: ~,
- •"` ` :~.
^'
'1 • j
I FURTHER CERTIFY that I will register at my local address when the registration books reopen,
ami rnm~l~ ,vttl, gll n+l,cr ron~~irwmPnta t-f n lPOal F+f!al[1P_t1t rtf this 4tAtP!.
I FURTHER CERTIFY that I have no intention to rt:turn to my former domicile, and I intend to remain
• Fort Pi era_e ----------____^~ -_-- _- 3t .Lucie --------------_-County, Florida,
----- --- --
------------- ~ Wty)------
permanently.
/ene Schneider (Name)
(Address)
Sworn to and subscribed before me this----23~~ay of - .,
'' i ... ~ • ~ ~"
anuarp_~ _~__~_-~, A. D. 19___81 ' `~ ,: -
-Notary 1?nblie State of Florida at Tarp - -:.:' • ~ _ 1
__ ,~~'
My Commission ezpires J8 a _-- 15 i 1984 ;~ : " ' ::' • . •'~ -~ .
(To be eseellted in duplicate and original Algid wkh Qerk (~+eoit Coml. dtid•dnplieab with Taz Assessor)
ftn~n Baonb Co.. Punt Cltr. Fla.