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~b8i 16 PACE 333
Decla~~~c~~i~ and Citizenship
TO THE STAff AND COUNTY TAX ASSUSOI.
, ,
SAIIT LUCIE
COUNTY. flORIDA:
This Is my declaration of Domicile and Citlunahip in the Sta" of Flortda thet I am filing this d.y in KCOrdance,
.;:
and in conformity with Chepter 222, Section 222.17, Florida Statutes.
WI unNGTON
I w6S formerly a I~I resident of
DEL.
(City)
CSt.-)
.
and I resided at
6) Holden Dr., Rambleton Acres
- - - -
(Str.-t end Number)
, '
However. I have changed my domicile
to and am and have been a bona fide resident of the State of Florida since
1st
day of
If RIL
,19 ~ ,and I reside at . 5195. Ole~4e~_ _~:ve,
CStrwt end Number)
Ft. Pierce, (Whit City)
(CIty)
St. Lucie
County, Florida,
and this statement is to be taken as my dedarlltion of citizenship, actual legal residence and domicile in the State
of Florida.
(1_ ..... .ny pertinent tecta, avch .. .... of property or b..e....., Of r.IInqu.......... of emplo;men' ., tor..... cbftki",
......w.1 of tWftlIy to new domIcI", ~ of ~, eec.)
ENTERING ONE CHILD IN PUBLIC SCHOOL
KURT WALTER DOV~~lARD g yrs.
.c' ~ .\., lH
fiLED AND RECOROEO
IN6Jf5(~~~f('t?.(t>- SO OK
'9~ nUG' 7 r\:r,,:, 4
Sf: l~U'Ci[ :C~~~~\~: fl~'~:l/~
'..-.0" - ....~. ';:,'"
.' f.O"",
, , ' t
...
.,,,, ., '.
',." \.: .....~,'
.~ ,..... Jill{)~:..
'\) '....,.
J r f1 r, '
I FURTHER CERTIFY that I will register at my local address when the registration books reopen, and comply with
all other requirements of a legal resident of this State,
I FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend to remain in_
FORT PIERCE
(City)
ST. LUCIE
County, Florida,
permanently.
JIL;&~
(NMIe)
to1RS. HELEN DO,'/miARD
(AddI..,)
17th
day of ___ ,
AUGUST
,19 61
Notary Public
D.C. My Commission expires
(T. 1M' ..ec
........... ... ...... fW willa a..e. Cln1llt c-t, .... ......... willa Tn ~)
.~co, FT. ".C.CIE