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Declaration of Domicile and Citizenship
TO T~ STATE AND'tOUNTy TAX ASSESSOR,
15 PACE570
0.1.
8001
ST. LUCIE COUNTY. FLA.
<'This ii my decl.r.tion of Domicile .nd Cltizemhip in the St.te of Florid. tif.T rIl"- hl~ 1t\.. &y In accord.nc.e.
.nd in conformity.. with Chapter 222, Section 222.17. Florida S,.tu....
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St. Lul!l,A COU1l~NTY. flORIDA:
I w.s formerly a legal resident of " .
Mae~.~\la/
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CStete)
(CIty)
.....
and I resided It
.
... 174 Bay,Dr1./8, n.
CIIrMt ..... Numbet)
However, I h."e changed my domicile
to and am .nd have been a bona fide resident of the Sta.. of Flcsrida since, ' 8tb_ _.. ,_ ,_ _,.., _. dlY of
\ .' .
. 1961 . and I reside at ,J.61" Cas,tJ~n~Lg9-'~-!"~.J.._f~rt__~~~__Lu~i.
cser-I ..... N\......)
,Augus t ' _
__ n' ___'_' -_at. uLucie.__, . ,,_ _ County, Florida.
- '- - P-ort St;. - Lucie -
(City) .-
aQd this statement is to be tlken IS my declaration of citizenship, ec:tual legal resid~ Ind domicile in the State
~F~~, -
(l.-t '-. IM't pett\Mnt fKtl. IUCh _ ule of property w buelNw. or ,.1lnquW-,1 of .~menI .. __ dooNclle.
..-e1 of fMllly to new ...... purcMee of home. eIC.)
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Entering in School:
Michael Craig in White City School
Patricia Ellen in St. Lucie County Jr. High
9'('.127
FILED AND RECORDED
IN QJi~~~ f.1~OOK
1961 AUG -8 Pt' I: 43
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no G:i\ POITr.AS, Cl[~,K
Sr,lUCIE COUNTY, fLORIUA
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,-' tlUfmteR CERTIFY that 1 will regl..... et my IoQI add,.. when the regim.tlon boob reopen, .nd comply with
.11 other NqUlrementa of a IegII resident of thl. St....
I RJRTHEI CEaTlFY that I hive no Intention to return to my formsr domicile, and I Intend to remtln In______
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. \ " ~~..*!P;~... ~e me this.. ~ . _______ day of ___ _ _______...~----, 19.1./ll_
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. "'~.-!_~-- ~ fJ:_ _~___"_______ __________________'.____________________
. ,"''''''~, .' fIOITIAS~ClRCUIT COUll tMary PWlIe
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By ~- -- ,~- -------- CI.c. My ~'Iion .... _____._'_..:.:-______________
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