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Declaration of Domicile and Citizenship
OUIVTIf TAX ASSESSOR. _ gb~k 2~ MO~~~~
TO THE STATE AIdD C
gt• ~iucie couNTY. FtoaiDA: - ST,1.u~1~ ~OUMfiT+ ALA.
- This is my declaration of pornidle a^d Citiyenship in tM Stan of Florida that I am filing this day in accordance,
and in conformity with Chapter 222. Section 222.17. Fkxida Statutes.
- ------------. ----N~~~rs-oY----
1 was formerly a IeRal resident of--___-hlaple_s1~ad0- ---- -- lad) ~M.t
___-- • However. I haw charged my domkile
and 1 resided et____.------l.--a~ ~~O~~la/-6a<1~----------
to end am and haw been a bona fide resident of the State of Florida sinoa_-- _-z7 -_------------------~Y of
---- , 19-----, and 1 reside at ----205---S -,Z~2 ~ ------ -
-- Jane--------------- ----- -
.~`
FortPierce ' . 3t. Lucie _ ________ county, Florid..
~and this statement is to be tjkeri at4-mY decleratian of dtixanship, actual legal residence and domidls in the Shte
of Florida. --_
~ Iwn ~wp pwtYwiK ~. wd~ ~ wM of PAM er bwM.~. °~ ~M °~ ~ N tor+w~r dondcM•. -
rweoorl of t«~ty a ~iwr dewkila t~~ d Iw... Ne.) - •....~, -
't2 ~ .
Applying for homestead
^s i~
f a -~~ '- -~-.• ~ .
1014'76~~'~-t ~ • =
1961,uW -2 PM 12:4 2 ~ ~~
SRL UC E COUNRT FIORI A
- a ~..~~
~:
:~
ra :mot ~' ~ :. -%3"'::. ~, .~ ~`'
:... ', ~ -
h~
- r, .
y i ~ Mrhan the registration books reopen, and comply wi11+
1 HIRTt~R CERTIFY that 1 will register at mY kx~l +~~
all otl>.r rpuinmeMs ~ • legal resident of this Stara. f .
1 FURTI~R t~RTIFY that 1 haw ra Intentbn to raturrt to my fonr+ir domldia, and 1 intend b ranneM in____--
8t. Lucy ________-- County, Fbrida,
Pierce ~ -- '-----
----- F4?~---------- ~ ----------------- - - • -----
!_.
_ -~
Z Charles R• Corsriac
. _ _ _ 19--- 62
z>ad . ~ aan
~ ------------------
Sworn to and aubscrib~d baton ^"~ thia_:.. ,_ _-__---- day
~!4.~~-~~~~~.,>L C~~. -Ca01JRTT -___ • . -------- ---~ry Publk ---------------
a~eac a , . - -
p D.C. iNr COttifnlaa~Of1 aap~ ---------------------------
SY ----- --- ------ -- +---------- ~ .
t~ M wrwM/ ` ors! Nrl +iW 1Md w1/~ ~ ~~ OwAi` wi ~w iiriM-.~ a..w~d
e.ae. Vin. hswes -