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: . I.~, ' · ... l~~c;" Ci~~, ~,,;qllS , . "~"'llA. ,0 Declaration of Domici. and TO THE STATE AND -couNTY TAX ~, Slfa l,DCIa COUNTY. ROIIDAI ,f ThIs It ""f ____ of DoMidIe end ~... ill........ of FIoride ... I em filing'" ct.y 1ft ___a. .nd In conformity with c:t..ptw 222. s.dIon_ 222.17. Aoride StMutea, I WH fonMrly . I" ,....,.. o'-;-,_..-lIX)I)B81JlQB,_ -------------.-------. ___.~_th__,________ tcIIrt ...... .nd I reskJed .L_7'.~__~~_=~~!!.!_________________.n___' HolWl*, I Mve ch.nged my domicile ..... .... ...... to -=t em .nd have been. bone fkIe reiident of the St... of FlorIda Iira_~__._2.6tIL_______________cMy of ____. __MAI__,_ ._____. _ ___________, 19_.61.-, end I reaide .t .lll6J)~.-...~.---.---.--- -------- ,,' . .... end .........) ___n,_ _~u.I!QI.____________________________. _________~'!',,__~JtQIJ______________~, FIorkIe, (City) .nd this st.tement is, to be t.ken .s my decI.r.tlon of citizenship, xtuel legel reIidence .nd domicile In the St.te of Florida. o.-t here .., pertinent '-' weft .. .. of property or ....... or reIIn. It~. ., ....1o~JIi4'lI .. -- ........ _.. of 'MlIIy to _ ....... ~ ., '-- etc.) H~':'i..i\?Orrn~:;. Cl[rl'~ Ci.- (\ ST. LUCIE COUNTY. fLOIOUA ~ , "tr~f~~:' ,t' ..~I....... ~.',:'!."" ...., '''0' ..'II ~_A... .c"~:~-> ~,'s...' ;.~ .. ~ ........."/~.,r",':~ ,~'.' ~ ....~.. '- ....v/) ~ <:;: .:' ,'. .'".1. ".", . \-;. .;: :"1 - ~. . .. a.o /' -;. .;r;:1t. h ~ ~J -_*-::, [, ". . ..: : '. ' . :." = ('9 .... _.., : r- :: '. : ':.-::-:,,. ....:.~."": en =;;. ':. ,., ',') y .' ,,~L\.. I.......: ft, " " : --, /- ,:,.< ..... <~. , " ?' V " · ' '~. . :'..\. O'~" ."/nns. ....~ ..:,0: ...j;t;- ...... V . ....... It ') &.~.... ).'O .., ./.,0').'.'.. \j.~ '.";;',. .' :, \ .." .:l"~; :"'Uf',"'.' 96656 AlED Alm'RECOROED INcftt~OOK \96; JUL \9 Pt' I: 50 I FURTHER CERTIFY thet I wlI\ register .t my Ioal address when the reglstr.tlon boob reopen,.nd comply with .11 other requirements of . legel resident of this St.te. ' I FURTHER CUTlFY that I have no Intention to retum to my former dom~le, .nd I Intend to remain In______ _____ __l1'._ fIDCB.____._____ --- , tQtyt - . :.~~manen~'. tI1nl "'..... ~.. . ," ,,\., . ..", " > :r. 1. .......,_ ........ I. A "'-"..- .'~"" 0- ",..,~ lJ' . '" i;.... ~ J' "';. '''f c' , ': .... .': ~ _ ." , "#', -, . : (,J:' ~'j ", · ~ - : . .J-. . ~ : Ii :.. ...,' 1 -, .-: tit :. ;" ~ I' ..;'" l' .. .,A". . ". .;' " ".".,J:: _ ., .....__.." ..,_~.f~_" :.. ":-: . ~ .... .. - . .... .~ # ~ ~ ~ " 4lt fI ....... ' " J; ~Ii foMaI :\~~. before me this, ""'''I;'I''''~' "S;~i -, _,S.T___W.c.lB___________ ___.___ County, Florida, 19th -~~-------------, 0--) - '-()~ER;;oiT- - ~y~~ ---------------------------------------- COURT Not.ry t'ublic D,C, My Commission expires --------------------------- .. ...... .. ........ ... ... a.6 a...It c-t. .. ...... .... I. ~ ...aa. n, ..111.:111 ,i . "f _ ~ -