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HomeMy WebLinkAbout2852 16 PAGE_~E 702 Declaration 81. ~~hfieW~T. !JhAcf' Oi+~,~ip TO THE ST ATE AND COUNTY TAX ASSESSOR. ._St.. Lucie __ _COUNTY. FLORIDA: This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in accordance, and in conformity with Chapter 222, Section 222,17. Florida Statutes. I was formerly a legal resident of Moultrie Georgia (City) (St...) and I resided at Rt ) However. I have changed my domicile (SttMt end Number) 25th July, 1961 to and am and have been a bona fide resident of the State of Florida since. day of . 19 . and I reside at (Str..t .nd N.-t..r) Fort Pierce St.Lucie' County, Florida. (City) and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida. (In..rt her. any pertinent fact'l. .uch .. .... of property or buti...... or r.linquiahment of employrnent at for..... dcwnki". removel of f.mily to _ domicl". purChue of home. etc.) Family is living in Vero Beach since the ~'th day of July, 1961 renting, until the house that is beigg built here in Ft.Pierce is finished. Father is commuting daily to work here on the grove Kelly Road- (n -,. ;-t :..1 ~o ....!: ~l~ r- r1 :;::. r::J C ' C'"), )> _., j . Z · "! c:::J ...- : - I :::0 '~r1 s: ~~ oc:>rT1 oc::>t::J ~ ~ en ~ ~ " Geneva Lindsey in the 6th gade Janua Lindsey in the 9th grade Earl Lindsey in t he 9th grade Machel Lindsey in the 11th grade ~:;( ~r' . -- ~, , ~~ g ~~ c::: - :z:-i -t ::~ -c l- I., :..., (l .". r-- ~C) ::r r" -" CI~ ~ Entering " .,' .' ..... . \ ( "r . ). . '..... ,; , .,.,..~,:: .//;> '~" :' , . .,.. " :-, . "'. ,)','" , , ..jV , I" ' ,: V : c, : " ". ". : ..- ~... j' ..).. ^ : I : o:-'~ . ~', :'~:{ : ~. ~~~~ '"'" ~ I": - , .; '. , .' : ; .: ""'.. 1 ". ~':.,...."... ..-.:." .>.l..(."'.~' ,~} 'z;c:.;,{:.<:r; '>" '" I FuRTH~R CERTIFY that I will register at my local address when the registration books reopen, and comply with all other r~irements of a legal resident of this State, I FURl HER CERTIFY thet I have no intention to return to my former domicile. and I intend to remain in_ - - - - , -- .FOr-t Pier~a--- .-------.--------- (CIty) _ ,___St.JLL\.tc.~e.___ ._.__ _ - County, Florida, permanently, J' ..j) . ~~~~d~~~7A , _ u ' _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .. - -.. - . u _, u . - - - - ,~ ~) ",,;"', , "..' 3 "'". A 61 Sworn to and subscribed before me this .2,~~~~,~ J.,<; i(.,..,--.~- ,_ ______~~t_____uu. 19__. ' . .-'.... ..,.t. \,) . ."', ..... -A---~---~-=- . 'oJ, " " " ~ - .----- ROGER-POIT-R-AS:ClERKCIRCUITCouit#[Ff'..~-:' ': ~,A " .~'~-, ~-~~1t;;Y-Pubik- .-- '-~~~rida-atU~~ :: I" :- \- ., ~ ~ .... state 0 J n lS. l~ ~ . "..-, i.,. .... - ___ I'U",IC, EJlPlfes a, 0' N. 1 ' ft$.,,~ - v ..'" '-., :,' '. -Co",",ISSlon n Sure\'t CO, : By ___ _____________________'_________. . .f?~. .~Conunl~ expl.es -..JkL:rea-trt"~t.!~----------- ':"~~"'). . .' (.j'~ . 8Qn . f I .... c ( ..: cr..................... ~;~~I~:'~ c...,... t!.opIIuIe willi Tn ~ ."CD. n. "'C_OC