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Declaration of Domicile and Citizenship
TO THE STATE AND COUNTY fAX A~ESSOR,
ST. V!CIE
___. _' .._.___._COUNTY, flORIDA:
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8 375
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This is my declar3tion of Domicile and Citizenship in the State of Florida that I am filing this day in acccrdance,
IInd in conformity with Chllpter '122, Sec1ton 222,17, Florid~ Statutes,
I was formerly a legal resident (\f
ALBANY
and I resided lit
1419 E. Johnson Ave.
(SI,eel .nd Numbe,)
GA.
(Cily)
(S,.,.)
However, I have changed my domicile
1st.
AP;,UL
61
, and I reside at
to and ~m cnd have been a bona fide resident of the StClte of Florida ~ince
17th St.
,19
Fr;. PISRC~
(Cily)
day of
320
".,T
1< .
-'-
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(SI,"I .nd ~lumbe,)
::':T. LUCIE
. . County, Florida,
cnd this statement is to be taken as my decll!oration of citizen~hip, actual legal residence and domicile in the State
of Florida,
(Inl.rt h.,e .ny p~rtinenl hell. luch II ule of p'operty 0' bvoinen. 0' ,elinquilhmenl of employmenl ., f~me' domicile.
,emo".1 of hmily 10 new domicil., purch... ef horn., etc.)
TO Ei':RULL THRSE (3) CHILDHSl; n; PU?LIC SCHOOL
Dorman Kimbrell , Jr.
14yrs,
13yrs
George Donnie Kimbrell
Romie Sylvester Kimbrell 11 yrs
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IN 1:z~,:.'4.cvQI
I~~'~~T~~CI ~
S1. LUCIE. CUU1Ht ftt)rdLI~..last.: i
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fi' En At'n Pfrornrn
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I FURTK[R CERTIFY that I will register at my local address when the registrl!otion books reopen, and comply with
all other requirements of II legal resident of this State,
FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend to remain in
FT. PI::;HCS
(City)
permanently,
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:~S.;,or"f\ to ar{t(sut5scribed before me this
. ) ~".1
!< : . ~ " 'ROGE]. POITRAS
Co: '.. , ( 'ROG~~ rOl(RA5. CLERK C1RS,l;ri COURT'
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',.;j, :j:d~~'A~' ,(..i,/,.:t/c'/J ',.
cyY',...."" ~ 3 ' v' -.. .
17th
day of
::;iT. LUCIE
County, Florida,
In ,t.; J,').'
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(N.me)
ERS. OLA KE:BEELL
(Add,en)
APRIL
, 1961
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D,C.
~Xl~Wf-a
(To b. e cut.d in dupliute .nd 0,:.;".1 fi'-d with C"'rIo: Circuil Covrl, ."d d"9liu:. with Tax AI....,)')
/
spec, ,.T. PIERCE