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Dsclarotio~, Afc~~~~~and Citizenship
t0 THE STATE AND COUNTY TAX ASSESSOR,
St. Lucie t:~OUNTY, FwR10A:
_ This b my dedaration of Domidle and Citizenship in the StaN of f~orida that I am filing this day in acoordanoe,
and in contormily with Chapbr Z44, Section ZZ4.17, Florida Statute.
1 was formerly • legal resident of_______---~!tfZ_-- ---------------------- • ---- Herr J9T39~--
tatit ~.i
_-. Hovwver, 1 haw chanpad my domkile
and 1 resided at----- goal ~ .~ r~~.~ e------------------
to and am and haw been a bona fide resident of the Stab of Florida sins_----~OLtI________________day of
-------~j~~________________-, 19_ ~1, and 1 resi8e at ____S~Q~ ~~~U,~_~.IC.~OlIQ_________-- _
aK••+ •+a Nw.e..i
-----FG~t-P..1~Ci~-------------------------• ------s~._.~a1iD~Q--------------- ~+nty, FbrWa,
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and thil,s~J~_statement is to be taken as my declaration of dtitenship, actual Ipal residence and domidle in the Stab
of FRf.W.
n11Nf~ tIM. M) pM1YM,M fKk NIA M`,N,~M..O~f PfOp~f~y p t1+M~1MMr p +'a~~ ~ M~++~M M t0f11Mf .
IMA011.t Of try 10 Mw ~tCr~ p+Iff~1M..r I+ew~, Me,)
gatabliah Residency
- 0~-~3
1 E~pRa p~K
r^ ~~ ~~ ~~
1961 `
OVER P01TR~ S. a~ A
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FURTFIEit CERTIFY that 1 will register at rry local address when the ngigntion books reopen, and comply with
all otlwr nquirwY+ants of a legal nsidaM of this State. ~ ,
I RfRTiR~ t~TIFY titM 1 haw no intention b rNum b my former dornidle, and 1 inland to amain in____--
_ _ -'""'~~rt ~ P e ------- - ~ ------ ---- 9t.- Lnci e ------- Ca+ntY Fbrld.
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IM~sI
-1i11111tta 7. l~laaagan -------------
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me thb. .. Znd_------ ~ ~ -----=-•T---------------• 19152---
ddC -.lpD~J1xF ~ ~ Notary P"bljc.
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~`-t~C. Nlr torYn~ion ---_--.__ ` ----------------
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eroe, K. Nawet
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