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HomeMy WebLinkAbout0211 --- ib~l 9 2.17 Declaration of Domicile and Citizenship ST. LUCIE COUNTY. fl.. TO 'Hf STAff AND COUN!Y TAX ASSEs.s.c>l( :.n. LUCIE _ COUNfY, HOIHOA lhll i1 my ck<iar.hOf' of Dvmki"- .nod C"II~nlh;p in lho 5f.,.. of fkx.,h ,h'l I am '.ill''9 ih'l d.)' .n t(il,'/thnt1J. .nd in {on/Offf'\"Y wllh Cn..~'1tf 227, s..:1iOn 211 17, flOf~ 5'.!vI.' I wit IOtfNttly . I~.l r"4.;.nl 01 NE:'I/ YCHK CI'1',( r:r:...: Y l HI': "....1 (1<. ..I illloCI I 1.1i<Md ., )1 - 77 )2 St, A9torlaJ ~ueenD (\to,.., _i ~I How....~r. I hh'f! <;NI~ 1'1'1.,. dotnl{de 10 IIf>O am and h."'t ~" " bon. I,d"" re-1ldltf"ll of the Sial. of FIOIld~ ,lrKII 21ut dll( of April' 1961 ,.nd I r.."de al 150 El :'>ito C,urt, 1'01'0 ;'';t. Lucie (\OV~. ...-.d ....~ I Fort l'ierce St. Lucio C.'XIl1ly, f!(>( .do!, Ii: no) &",<1 H'l'~ ll~!l!ll"e-l\! is 10 ~ l<llrl'!n as my dt:-<;Ia/ll,on of ",.t\tn,h:p, &du.l 1a-Qll r.lkhlnce lll.d d<)(t),(i!... "' I~ 51.1t" of florId. (l1'''4.d .....,. "'1)'" P+'~~i' f~f'i. h<"" *1 t-f:'" of ~t" Of bA~~ OC' i.l~i ~ ~~~.. ,I f-tJt~ ~:..c~ ,............' ~I I~ '" _ ~, J<-"~""'" ~ """"'" c<<c-l {}.l :>4 ~~ cn f\l~C ptm HtC~~D~u \~ I ;~1d /iL_4.(/0;C'J '~W~ ,"0' 7B 1/ \%\ K"~ -, ~,\, . I ___ ~. r' \' ,... ~ ....,.... . , \. ~ .' " ",...I~ ~\~~\~{'i;'flOl\\Ot '~L l\JClt l.lyUI , .... '. .' '-- ." , \ I FURTiHR (,ERTI~Y Ih~: I .....011 'e<'J'S't!' il my IOCjll .ddrElH ....h~" !r.a re<;1,)!ra"O/) booh 1SoOp~n. !trod comply wt!h ,II olh~r re<I'liI~rr~nll 01 & I e,\H 1 1eHJenl <;,f Ih,~ Sf.'" I fURTHER CiRTIFY Ihel the,,!! r...,) ,,"('nl.on h) 'ervln to my fo'rr~' dofnKlie, lli)d I ,pll:md to r&m.,n 111 ~'~)rt !'j,'rcc> ..i t. I.1.lC i I) Counly, flo/l'Ja, C(Il.,' pe'msn.;~nlly ..~t, )11'f( 1',1." '1,~)l/>~(l}l ,',/ ,,' ''i......l J ()tlr; ,J o:),~,h :.m'an '-17 1r; ( '1 JifUf (/ /}~rrF~~k' -"7J.o .~ ... "~"l . , , . ,,"1 A J .r:.q LH I_.l. \.Y. ..'.()r.[}r~ t~ ....~ SWG/n 10 and \Ub,((,~:1l~fl)r~ rn~ th,\ l~}t d" >~~~~&~ M, ,:"",",:..;.",.t~ - ~6J ''lcI:LI , 19. () 1 ~- ... i((X,HI rOI!IlN" Gun: CIRCUIT COURT Bf DC ---- - ~---""""- 4~S ..,..-}.... ........, fr. ... ........... .. ""+10<... .... ~61 No.4 ...~ t-.. UN,", ~ ..... ~... \u 1-_1 .."'--