HomeMy WebLinkAbout1125~~- ~ -
• _ a~ - ~ ~r~iti~c~htp . .-
TO THE STATE AND COUNTY TAX ASSC4SQR,' ~ `.
- Thb is my dedaretton of port~klb and Citi~hip sa tM~SINt of ~la~:. that 1 stn ~iNrtp tbb d~r_ in aooordenoe,
and in aorrfonnity Mrith .ChaptK m. Sion x.17, Fbrkli shtv+'a.
. Peoria :' ~ '; ~ ` - Illinois
. 1 Was forr++erly • .bpal reaid~rM Qf__,.-- --------------- --------------------, _------__---..-_-__-_
and 1 resicNd at._-_-- 1601-_ ~tOrth UAd~]Chil~-------------_-•. Howes !haw changed my domWb
tt+-.a «~+ rr~.r.-~
to and. am and haw been a bores fide .resWent of the State of ,Florida sins----___~~ --------------day of
61 Rt Boz 1 Jenkins Rd
~9C.9>Oh~r ----------------------. 19-~----, and I reside at -------~--- --~~--------------- t--- -
a e1nM w~ I~~)
I'StJC~_ P~!lL4~__-- -----------------•.__-. ..:____~.agL..LI}.~~--------_-__-- Coimh-, Florida,
taM
and this statement is to be taken a my dedaratbn of-dtiaenship, aclwl bpal raidenoa and domkib M the Stets
of Florida. -
piwrt hest aw~r p.r~N.nt t+w. wd~ M ..M et peep~rry a a~rti a nl~lr~er' ~t Mrlerw~nt M t~ewa i~IrM~.
nwiovd of f~n~Nr to w.w ds~~IcMR pwdw~ of h..~w MN
Br-tering Linda Sue Anderson in the Dan 1~IcCarty high School
• 1Coeta Lynne Anderson in the 4th grade o1' FairlaMn School
1014%x'
Fq Ep pt~10 RECOR~~K -
iN .
191 OEC 30 pM 10: 08 .
_~• ROG~ ~ 68 NR~ ~t'LORtOA
:.._.--
-•'~ J y•~v # ~ ~ -
'' ; ~ ~ ~ •• I• iR CERTIFY that 1 will rpister at my bai addrt+si when the re~tshatbn boob reopen, and aornply with
• ~ `'' "iillpeiquken+ents of a legal resident of this State.
1'Fi~IRTHER CERTIFY that 1 haw no intention to return to my former domkib, and 1 inland to remain in______
Fort Pierce 3t.Lucis ___ ~,r,ty, ~~,,
---------------r----- -------------_"_-_'-- -----------------------------
t~tM
permanently.
Sworn to and subsuibed before me this _ ''
----ROGER POITRAS
-----------------------
R POITRAS CIRCUIT
.~ j=
~,:, . gyot lb~.~erson
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~.~ ~ ~'~`~' ~~ `r lbri ~•' J amen L. Anderson -
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December----------• t9--1--
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----------------------
Nohry F'ublk
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~rR r i+iw r~ Tas Mid
•~eo.~n. ~~saoa