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. peciorotion of Domicils- v~d ~C:itizs ~~ ' 2~ X472
TO THE STATE AND COUNTY TAX hSS~+SOR. $T. ~uCIE ~OUNT1~ FLA.
8t. Tinole ~~~ FtORIQA: --. .
This b my dedaration of po~nidM and Citixarahip in the Stets of Florida that 1 am fllinq this day in aooor~danoa,
and in aonformitY wNh Chapter ~~' ~~^ 22.17. Florida Statutes.
' Bsllaiie - -Ohio
i was formerly • bpal resident of_------=------ ------ lC~r) ttaal
6th 8tre t ___. Hoawwr, 1 haw dhanged my domkile
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and 1 r«id.d at---- 42~ -------------
'~ 20 _ day of
to and am and haw bean a bona fide resident of the State of Florida na___------------- -- --- ---
7_10 west 23rd 8treet____
--------
---. 19____-land I reside st -------
Fmresber ~ ---•--------
------------ tiw••r d Ni~..~..)
• St. Laois -- ~,r,ty, Florida,
Fort Pieroe -- -------------
-------------------
---------- t~ __
•snd this patament ii to be taken as my declaration of dtinanship,~ actual b~pai reskiena and domidle in the State
of Honda. .
pIrM1 ~yf. a~rr r"-^'^ faiK Mlltl M ..i1 ~ ~y M t11Mi0.Mr M Mier ~ M rOfllNf ~~.
fMMr.i ft t.111iiy ~ Mw ,Mili1R ~ ~ tMMR My
101464
Applying !or hoaef~tead
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NOGER POITRAS. ~(~~ .
fi. l9CIE CAYNTT, FLORI ~~
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1 FulrTffEf: tt+at will reOlatsr at mlr locl• iddreas wf'~r' ~' r'e~anO" books reopen, and a~Y wits'
ail other ~ of • Mpai watdarit ~ tfib Stag. ~ ~ .
1 fURTfft~t ~~ tMi I hwe rq MN~Mbn to rvfixiA ~ mi- fornnr doaridN, and 1 intar><! b amain M___---
-- fort ~pi~ro~_ -- - ---------=-----~---• . ~ ---_-----; St. I,uii~ _~------- - Horwa, -
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Sworn to and aub~oribd bsbn try Nola ~. -,~-t~ -~. ------- ~ •
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