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D I t. f D . '.' ---1_~_-a.:- ': T. LUCIE CC.U~TT, rl~.
ec ara Ion 0 On1lCI e aUILUJU.u......."
':'0 TIlE STATE :..ND COUNTY TAX ASSF.s80R_
ST. LtmI~ OOUN'rY, FLORIDA:
Thia is my declaration of Domicile And Cithenahip in the Stat~ of Florida that 1 am t\ling this day in
accordance. and in conformity with Chapter 222, &:tion 222.17, Florida Statuus.
I waa fonnerly a lepl resident of..m.L\tlliAS...CITYm.--.---nnnn.-u--un--- -.--., __oo__Ml-S-SQJ!RI.-.----m-.---.
(elt1) (State)
and 1 reeidt'd at.... 003910.. Cl~t'k_S.'t..__.n_..___oo_. _....__...__...__ . However. I han changed my domiclle
(Street Uld N:1D1~)
to r.nd am and have been a oona tide I"(;.Sideot of the State of r'lo..-ida since-- - 3rd...-- --.."-- day of
_._.______________M~_~~m.___.m____m_. 19.Jl., and ! reaid'3 Iit.______RQ_~_~~n_!t__~5?~__59A_._____n_ ___._m__....____..m___..
(Street and Number)
________r~g._~___~~_~~ ~_L,. _______ _n___n_________, ___ ._~_~ _!__ _ Lu~ i ~__m______n______nn.__. __.n_n_" County, Florida.
(City)
and this fitatement i8 to be take:, u my declaration of citi7.cnship, actual lea-al residence and domicile ill
the State of Florida.
(Insert here &n7 pertinent :facta. auch u ul, of property or bu.aineu. or relinquiahment of employment at
formn domieU.. remOTa! of fa.arll,. to neW domlcU~. purehaM 01 home. fl.c.)
Entering two children in public school.
Susanne Paroczy
Les2ile P-arocsy
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ROGEI1 POITR/\S. Clr~K
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I FURTHER CERTIFY that 1 ",'Jl rea'bter at my local addreu when the !'ei(i8tration boob reopen,
and comply with all other require~nta of a lepll"8lident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domicile. and I intend tt> remain
jn Fort Pierce St. Lucie _ _ ..County, Florida,
permanently. (CIt7) .L~-t a~~ _.__~_____--
(NUM~::"
StephlUl Paroezy
--.-. --.-------------
(A~)
('f..; ,L. ueeaWd m dopUede ADd oriPW AW. ~. Clerk \lmd\ Court. ad~'" with Tax~)
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