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Declaration of Domicile and
15 fACE372
TO THE STATE AND COUNTY TAX ASSESSOR,
Citizenship I). i:.
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'.,T. Lll(I[ COUNTT. rLA.
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St. Lucie
COUNTY. FLORIDA:
This is my declaratiOn of Domicile and Citizenship in the State of Florid. that I am filing this daV in eccordance.
ind in conformity with ctYpter 222, Section 222,17, FloricM Statutes,
I was formerlV a legal r..!dent of _
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CSt-)
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and I r..ided at _ 15.55 ,1!'n~OIl -e---S .W.._
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However, I have changed mv domicile
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17
to-and am and have been a bona fide resident of the St... of Florida since _ _ _ '___. _ _ u daV of
July , 19 _~l. and I re;ide at , ___2209_ BarbarA_,kvenue___n_n
C$Irwt ..... NuMber)
- ~ort PUrGe -
County, Florida,
_ __ _ _ __ _ _ _ ._ _ _ _ __ _ _ __ _ u _ _ _ _ _ _,
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and this statement -is to be taken as mv declaration of citizenship. ectulll legal residence and domicil. in the Stat.
of FloricH,
(1-, .... 8ft'( P<<f\Mnt f.... IIUdt _ .... of prop<<ty eM' bueIneu, ow ~ of employment at tor.... d0mlclie.
..-.I of fMMty to _ ...... ~ of hoftte. etc.)
-Entering Ronnie John in 12 Grade
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Becky John in 8th Grade
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97006
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IN Ie" ~_Cl,QJ;OOK
1961 AUG -3 P;' 12: 38
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Sf. LUCIE COUNTY, fLOklJA f
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I RJRTHER CERnFY that I wi}1 rwgl... .t my toc.l eddr.. wNn 1f1e registration boob ~;.' ~ywith
.11 other requirements of . teg.1 resident of this St.te." ,:;.,' , '
I RJR"ntER CERTIFY that I have no IntentlGn to return to my former domicil., .nd I intend to remain In__u__
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___.;____u_'9_~_~t.~~~~_uuu__uu____ _ '
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______!1!.!__~~_~~________u__ __ County, florida,
penNnentty.
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I Ralph J ohD
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Sworn to Md tubeaibed ~ me 1hit_
). _______ cNy of ______ Aup.~~------u---u, 19_u-61
d:: (2,.aaK ~IT COURT
By ____~~---------~,----------- O.~
Norwy Publk
My ConwnJtaion ....cpr. ___.._______________________
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