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, Decluration of DomiCile and CitizenIh.
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TO THE STATE AND COUNTY TAX A~.' ! . .
. ST. lUCIE COUNTY. 'lA.'
St.Luci.
COUNTY, flORIDA:
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Thl, II my deet.r.tion of Domicile end CI"-nIhlp In the St... of FIorIde that a em flU", i.. day In 1lCXIDfdenc:le,
.nd In conformity with Chap. 222, Section 222.17, FIorIde Statutes.
a w.s formerly. a.g.1 r..ident 01,___ - ..M1l~______. .__-_________________, _______~~p_~____
.. lCJtrt CIMtt
. 07 D__\. A - .
.nd I resided aL _2 h Lcu:a__~..._______ --------- --___________. How.yer, a he". changed my domicile
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to and .m .nd have been . bone fide r~t of the St... ...of ~ aJnce_~_ _,16JJ!____~--------u--cNy of
~~_ . __ __ __, 19_ _~l,.nd I reside at _-~~~~-!!~_J.~__~~________ _______u___
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PT. P~CEt - - ------------------, ____",..~'!'.!__~~~~u~~_ ____u County, florida,
(CIty)
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and thil It.tement is to be taken as my declar.tlon of citizenShip, actual legal ,..~ and domicile in the State
of florida,
(1-, her. ..., pertinent '.... MICh - .... of pnrpetty - ......... _ rellnqu~"of ......V'M'.. at .... .......
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ENTERING ONE CHILD II PUBLIC SCHOOL
ROBERT HUGH WILSON (16 yn)
96572
: f\lED AND RECORDED
'N6Ffl( IA/. If ~<1J(1l. BOOK
'96\ Jl. \ 1 AM \0: \ ,
ROuER POITRAS, Cl[RK
St. LUCIE CO~Nn, FLORlDA
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I FURTHER CERTIfY th.t I will regllter .t my local addreu when the registration books reopen, .nd comply with
all other requirements -of . I~I resident of this St....
I FURTHER CERTIfY thet I have, no intention to retum to my former domicile, and Iln..nd to remain in_n_h
ST.. WCIE _
___ __q h _ un _u__ h _ __ __ _ _ County, FIorlde,
FT. Pl~RCE
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(City)
permanently,
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.. (;)~~.~ .$ubacribed before me this 17th
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(AddreM)
JULI 61
__ day of _________________________ ______, 19___ ___
Notary Publk
_____~_____ D.C.
My Commission expi~es ____u_____________________
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apoD; PT. PlallDa
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