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Detiarction of ~om~t~~e
TO THE STATE AND OOUNTY TAB ASSESSAR,
sr.. Tn~,R aovrlT~r, Fiol:IDS:
This is my aeclaration of Domidle sad Citisenahip in t
accordance, and in conformity with Chapter 222, Section ~
I vas formerly a legal resident of__^_~IYU]TT---___-~
and 1 resides ai,_--- -
($trMt sad Nnmbor)
to and am and have been a bona sde resident of the State
---------- DECmdBER -~------_-__-, 19_~ , and I reside at___ ~
FT. PIBRCE ~_-____-, -----------
caa~
and this statement is to be taken as my declaration of citl
the State of Florida.
Invert itae~o aar ~ertinont fasts. socL u Salo at P~~-
ormor domkllo, rsmo~al of tamib to now domldlo. pmeo+"
- +t
91 ~6
FILE NO RECOR ED
IN _ _ + ~ _ _800K
j~ ~ -
1961 JAN 26 AM b: 14
ROGER POITRAS. Cl[°,K
S ~. LUCIE COUNTY. F~O-•..
I FLIItfiB1~ CEIiTIr~'Y that I w:.13 ~ ~ r ; '.
a~~ w« rv .~i+i+ aii nt1,~ rv±auirementa e1 s iegai resident
I FURTHER CERTIFY that I love no intention to re
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p~'~U7•
sr..,, s..w a~. w..~ ats. rta.
- ~.~~.