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3b~i 15 PAGE500
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Dec'ar~tion LCff( ~lclW. and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR.
ST. LUCIE
COUNTY. flORIDA:
This is my declaration of Domicile and Cltizenahlp in rhe State of Florida that I am filing this day In KCOrdance.
and in conformity with Chapter a,22, Section 222.17. Florida Statum.
I was formerly a legat'Tesident of
HUNTI~G~H
N . .. l.._ ' _ _
~..)
(City)
and I resided at
55.. p~~~~~~~_ ~1.
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HoweYfH'. I have changed my domicile
to and am and have been a bona fide resident of tho State of Florida si~..
5th, ,
day of
JU~Y
5
. 19 61. and I reside at _ .. 105.. R08..elYJL1..YO '
CStreet end .........)
_ FT.. ,PIERCE_ __ __,____ .. _ - - d ----. ___-ST..._LUClE-- --- --
(City)
, , County, Florida.
and this statement is to be taken .. my declara.tionof citizenship. actual legal residence and domicile in the State
of Florida,
--'
(1__ her. My pertlneftt fedl. IUCh .. .... of ptOpWty cw bwINM. Ot ,ellnqu~ of emplo.,-t .. '-- domldle.
~.. of f-"Y to new ........ ~ of home. -.)
ENTERING TWO (2) CHILDREN IN PUBLIC SCHOOLS
MELODY MORTON 16 yra
DONaLD R. MORTOR 14 yra
G'{U80
fllEO ANO RECOROEO
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I FURTHER CERTIFY tNt I will register at my local address when the registration boob reopen, and comply with
all other requirements of . leu-I resident of this St.te.
I FURTHER CERTIFY that I have no ihtentlon to retum to my former domicil., .nd I Intend to remain in______
FT ~ PIERCB
---------------.------------------------------
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___~'f_.__~qQJI.________ _________ County, FIori4H,
permanently,
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ttt-)
ELIZABETH ~ MORTOR
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7tb~ AUGUST 61
, _A '-______ de)' of __________________________ -----, 19______
By
___~- O.c. My Commllsion ..pi,.. --------:..------------------
COURT
Not...., Publk
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