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Declaration of Dom1Ci~C'iMtHQitbenslrip-
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TO THE STATE AND COUNTY TAX A~a.
ST A LUCIE COUNTY, FLOlUDA:
This ia my declaration of Domicile and Ci'dl-.hip in the State of PIorida that 1 ua Altar t.hia da1 in
accordance, and in conformity with Chapter 222, Seetion 222.17, Florida 8tatutee.
I was formerly a lepl reaident oL___liEdi__.CART.TSLE ___~--_~-___.-_, __---'lh.12
(a~) _ (....)
and I resided at Rur.~.l.~.9~t~__~___________uo,___________._m__..._._._n' How~ver, than "cl:&Dp.i. JIl1 domJcU.t
(8tnet .... l-laabu)
to and am and have been a bon!. tide ree1dent of the State of Ftorida linoe'h_~5.tbn....__...____.________cJa~- of
_.Mg._r.cJ~.__m_____uu_u_______n______n____' 19__2J_, and I reside aL..-193 ~!_~ru8_~~~~______._____
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_m____~~_t~___~_:!:~_~_~~____.______ St Lucie ___ .-
-----------., ------------------------------u----COUnt7, 1I101'ida,
(City) .
and this statement is to be tabn aa my declaration of c1tiJ.enahip, actual lerel reafdenC6 and domicile in
the State of Florida.
....
(lnaert here Uly pertinent tac~. luch &I aale of property or bu&iDNa. or nl1DQolah__ 01 _~, -'
former domleil.. removal of family to new domlcDe. purehue of IIoIDe. .) ,
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Entering two children in public school.
1- Bethany Ann McCune
2- Debbie Kay McCune
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I FURTHZR CERTIFY that I will register at my local addrea3 when the reziatration boob reopen,
and comply with all other requirements of a legal reeident of thia State.
I FURTHER CERTIFY that I have no intention to return to ~ former dOII'Jcile, and I intend to remain
_-5L..__kdL___________um_______;__~' FlO~,
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(Name)
Era. eland McCune
--------u--------.---------(A~--------- ---- -----------
in.------Jl~t .-Pi er ca__________.__m____________m__m.___._____,
( City)
penn&lnently.
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Sworn to and subseribOO ~ ~ 1IUs-__23 _ _ <!ay of
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My Conun.ia8ion eil>ftei~~.'... _ .~....:...
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(To be ex~,hi:~~'\~'QIipW ftled with a.n Cirev~ l.OQrt, Ulci cIa,Heate with Ta: ANeuor)
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