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• Declaration of Domicile and Citizen:hip
TO THE STATE AND OpUNTY TAX ASSESSOR, ~ Bb~~ 26 MCE4gZ
st. Lucis couNTY, FLORIDAa STS IUCI~ COUNfi1/ ~~A,
This b my dedaration of Domidle and Citiaenship in the Stab of Honda that I am filing this day in aooordanoe,
and in conformity with Ct++PiK ~~~ ~iOr' ~ZZ•17, FbrWa Statutes.
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I was formerly a legal rpident of_____-~~~4T~.C.k.__ _-----l~r1----- -- ~•t
__ ~ . However, I haw changed my domidle
and 1 resided at---------~ ~ ~~/ ~-----------------
11 -----------d+Y of
to and am and haw been a bone fide resident of tM Stab of Florida sinoe__-~-- ---------- 3 LuC
150 Bonita C~u>rt, -Port --t.
Noveaber- ~ ---------------
--------•---• 19__ ~' ,and 1 reside at ----------
---------------------- tw+•~ ,tea ta~.•t
3t. ie trounty, Florida,
Ford Pierce -------
---------------------------
end this statement is to be taken as my dedaration of dtinenship, actual Ipal residence and domkile to thi Stab
of Florida. •
fae~„ wd- w wM d poPMM ~ fAMY~ or rdY~grMrwM ~ ~~ M for.~r da~icw.
0~ INn rrV F
eMewl ~f f•~M/ M new ~e~teMi, pwslw~ of tMnM, McJ
Applying for homestead
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1961 JAN 2 AM 9: ~` .., ., ~ : -.
ROGER POITRAS ~"'
~T. LUCIE C9UNTY. FLORIDA ~ r 4 y J~ ~ '~ ~•,,
. Q. ~~~
i FIJiCT11ER CdtTIFY :hat 1 will fester at my local iddreas when the rpistration books reopen. and comply with
all other requinrnefMs of a ~ r~sidefK of thb Bab. ~ .
1 FURTFfER CITIFY that 1 hew fw intention to return f0 frry ~^~ danidltl, and, l ffl1'end b nfnaln in_.__--
439~0~- .- ~- ~-3~.--l+LLC~~------- ~~~ Florida.
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