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~T. LjLC.IE.CJIINPh, FLA.
Declaration or Oomicile and .t;;ltlzens Ip .
TO THE STATE AND COUNTY TAX ASSESSOR.
St. Lucie . ___COUN"l~. FLORIDA:
Thia is my decbration of Domieilc and Citizenahip in the State of Florida that I am filing: this day in
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:\OCo1U..II~ce, and iro conformity with Chapt4'r 222, Section 222,17. l<~lorida Statutes.
I WAS formerly a leral ret.ldent of,__nQQ~.Pl..l,~.J~~~~~.~~L__um__,_'nh'_m____'." n___..'___..'_....:r.~~~.~.m_______
t (City) (St.ate)
and lreeided at_"..~...____.__. __,_,~_~~~.,~.~~_~~.r... ...,..' ..__. However, I have ~hanged my domicile
(~treet aDd Nwnbv)
to and am ar..d hav~ been a bona fide resident of the Stat~ of Florida sinced ,.. 11 --. ......' day of
March 61 'd 314 N. 17t~___~_~.E~,~,~" ___,on___,__.__.............
._______o_,...______.,_,__n,,_,_..u,_, 19__,._, and I real e uL,.___,",nn_n,_,__..,_n.._~_
<~t and Number)
Fort Pi erce St. Lucie ..._______,___"hhCOunty Florida
-----...--------------------~------------_.- -----------, ---.----------------------.-------------- .,
(Citf )
and this statement is to be ts.ken &8 my deelaration of citizenship, actusl legal residence and domicile ir.
the State of Flori.cia. .
(lnMrt here an7 pertinent facta. neb u aale ~ .property or bUJineaa. or relinquiahment of employment. at.
former domldl.. romonl of fan-ily to new domlcu6. pU."'ChaH of hODM, etc.)
Fntering Kathleen Lynn Wick in 7~~ Grade
" Harry Robe~t Wick in 8th Grade
93284
FILED MID RE 0
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f~61 . _'(I .'.\
M~ 20 AI1
RDG s: 22
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I FUR'l'HER CERTIFY that I will register at my loeal addrea8 when the reiiatration boob reopen,
and eom~' with all other requi.r-.1ments of . legal ree1dent of th1a State.
I FURTHER CERTIFY that I have no intention to return to my'1ormer domicile, and I intend to remain
Fort Pierce St. Lu~ie___._m_m___,____COunty, Florida,
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<HUM)
Robert Murray Wick
ha
pen:a.anatIJ.
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S,..orit -to and au'l:wc:ibed bUore me ihia_...al--.~.a1 of
Mar~h 61
__-.---..'.'-.n_.------.-..---.---. A. D. 19__
Roger Poitras, Clerk of Circuit court
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~~ t.e ~ m du~'; ~ orl.~ ;~ ~ rn.n ~ Coun. ..'lad ~",I .. ,,' ~r)
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