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8001 17 ~3~5
Declaration sJl~tht rund
C~tizenship
... ..._.....10...........
TO THE STATE AND COUNTY TAX ASSESSOR,
ST. LUCIE
COUNTY. ftO~!DA:
This is my dec:lar.tion of Domicile .nd Citizenship in the Stato of Florida ,that I am filing this "eMy in accordance,
arxJ in conformity with Chapter 222, Section 222,17, Florist. St.tutes. .
, . .
I wa, formerly a legal relident of' KE'wANNA
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IND.
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fClty) ,
CSt...)
and I rHided ot _ P. o. _B~~.}73
cse...t end Nufnberl
, However, I h...... changed my domicile
to and am and have been a bona fide r~idant of the Stat. of Florida since~
. . 22n~ ____.. _ 0__. _ _day of
Ple.J'.C.tL SJt.... _ _ _ __ _ _ __ ._
(Strwt end ~)
AUGUST
, 19 61 ,and I reside at
501
- RT. PIEnC::
.sT.- -LUCIE.-
. 0.. __ County, Florida,
(City)
and this statement is to be taken 6S my c;teclaration of citizenship, .ctual legal rHidence and domicile in the State
of Florida.
("....I Mr. .ny perI"'-' 'KII. ~ .;.... of property (H ~. Of ,.Ilnqvw-nt of employ",..., et *-' dooniale.
,_.1 of, 'MliIy 10 __ domldIe, pUrdtoM of t.M. etc.) . .
ENTERING T\';O (2) CHILDREN IN PUBLIC SCHOOLS
HO';/ARD L. ZELLERS 13 yrs
KErmETH l.l. ZELLERS 12 yr5
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FilED AND RECORDED
JN~L~~~A<<~. JQJK'
1961 AUG 3 ~ fir' l1: ~o ,
[T.\:u~i~ r~~~1~'y~' ~lOj\'~'J~
I FURTHER CERTIFY that I will register at my local addrHs when the regittration book, reo~, 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, a'nd I intend to remain in_ - - -
FT. PIERCE
(City)
5T. LUCIE
- - _. - - -- ~ - ~ - -- - -
_ .. County. Florida,
permanent!y.
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. ,s..c~rll. tb ,,~. ~~ribed before me this
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By~'T--" ,CLERK-i:
a~'_~.A1Lg/,<;y
, (Name) -tf - ..
r.ms. ARNOLD ZELLERS
tAdclten)
A,UGUST
, 19
61
31st
~ay of _
Notary Public
D.C,
My Commission expires
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