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Declaration of ~~~'.~rt<;,itizenahip
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TO THE STATE AND COUNTY TAX AS5ESSOR,
St. Lucio
COUNTY, flOtUOA:
This Is my ded.r.tion of Domkile .nd Citizenship In the Ste.. of Fiotid.l ~t I em filing this day In IlCXIOrdanoe,
.,'Kt in conforn\!ty with Chepter 222, Section 222.17, Florida Stetutes.
I wes formerly . I~I res...t oL___.G.alllpl.i.s_____ _______ ____'__________, ---Ohi."o____.________
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.nd I resided aL__, _ftJi____A____________.________________________. Howewr, I have ~ my domicile
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to and am and have been a bona fide resident of the Sta.. of florida aince___ __ . -.10th______________ct.y of
------_~~P_t~!!l_12~1:____________~-,I?--.6-l, and I ....ide at ---Al5.,.-Qo.;1~.ket....AY.et____________
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---- ___for.t_ Pi erce--___________________ ___, __ ----------------Ji'.J.a.--------- County, Florida,
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and this atetoment ia to bt taken as my ~aration of citizenship, actual legal residence and domicile in the State
of Florida. -
(l-.rt .... My pertinent .~ -" II .... 9f prop.ty 0# bwlr*f. 01 ,..... ieIvlloetll of ....~_. .. __ .......,
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Entering James Porter Unden100d in the 6th r,rade
9891ft
FilED ^ND RECORDED
IN~BOOK
1961 OCT - 9 AM 8: /8
f<.OGliR PO'ITR^<; f"Y
J IL COUUit, i LlI.. .f',.
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I RJRTHER CERTIfY that I will regllter et my local add,... when the registration boob ~, end comply with
all other requirements of . .1 r..ident of this Ste...
I FURTHER CERTIfY that I have no intention to return to my former domicile, .nd I intend to remain In______
____n_______~ O.!.~_!'.!~F_~~n_______n___. ________ ____~_~.!1~G~_~_______ ___ County, Florida,
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~I'h .~a.:,d, ;ub~ribed befofe me thil
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:.:rs. Robe~. Unden"ood
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9th ----- -- day of --z--- _.Qct.o.ber___ ----; - --- -, 19_ -6~
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ROGER POITRAS, CLERK CIRCUIT COURT Notary Public
By ____ _____ __ ________ __ _ ___ __ __________ D.C.
.O'iHy' 1..-"Jb:L. ~_d , '
My Commission expires ~.~_S~~~~f\s>W1r.~~.;..~ :~:.l:'~
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