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001 to
Dec!a~' LV- ~rJ;1:' and' Citizenship
. ,
TO THE STAn AND COUNTY TAX ~WMOI.
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ST.. LUCIE
COUNTY, RORIOA:
thIS' Is my ded.t.tIon of Domicile end QtiIIINhip in .. se... of FIorkM ttMt I .m filing this dcy In MlCOf'dMce.
.nd In conformity with Ch.peer 222, SectIon W"'.17, FIoricM StMutet.
I we. formerly e legel reaJdent of ________~_~~!_~~,~.___.._____u_________, ____~__~~~_u__..__~_
fQIyt ....)
.nd I reaided .L.._ _~___Q'____~_~~_________________u_______. However,I heve chenged my domicile
ae-. .... ~
-.; .nd .m and fl.w beeI'l e bone fid. realdent of th. Sf... of FIorIde .Ince___ __. _A~J!____ __nu____cMy of
___. JUIE
. .__., 19 __6.1, .nd I r..1de .t _ _~~__~~!I_t!_!~!!~n_ _n_n__n
, ..... end ~
FT. PIERCE
-
(CIty)
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_ST.._..w.Cl&.n~__u____ _______ _,. County, FIorIde,
.nd this stetement is to be teken IS my ded....tion of dtlzenshlp, ectuel legel ....idence .nd domicil. In the Ste..
of Florid.. . ,
(I.... ... My pertinent fKft. -" .. ... of property Of '-"-- Of ...... ..1AI~_1I of ............... at __ ......
_et of femlly 10 _ donMdIe, purcJ.e of '-. Me.)
mTERING ONE CHILD IN PUBLIC SCHOOL
HELEN MAE WATTS
7 yr8.
(j 11195 . ,;.......,.....
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ALEO- ANO RECORDEO ..' .'\'~ ........; '.)
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\06' AUG \(1 n1~ ,~ ::\-\::,/.,e, ;,l'~~i.:..:
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S'I:';~u~fE ~'O~Ull. flOl\lt;A~' "..,.,.~~,.1.;lI',:~.>'.
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I FURTHER CERTIFY thet I will register et my local address when the registretion books reopen, .nd comply with
.11 other requirements of e 1.g.1 resident of this Stete.
I FURTHER CERTIFY thet I heve no intention to return to my former domldle, end I Intend to remein in____n
___~'!_._ _~~~~___._ _ _,._ ___. _, County, Floride,
______ _..~!.. _PI~~~_ __,._. ___ _ _ _______ _.._...
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Swprft 'q .rC"~u.l*ribed before me this
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S?a~JLt\L-Wa1tL-- --
<N-)
PAUL H. WATTS
(Addr->
~I
_______ ___n_' 19_
:0
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dey ot ..-
Notery Publk
n_ _______ D.C. My Commission expires ___________n_____________n
rr.
.. ....... .... ........ ... .... a.l GrwII c..t. .... ...... .... 1ea ~
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