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Declaration of . Domiciles and Citizsnihip -
TO THE STATE AND COUNTY TAX ASSESSOR, Ob~~ lrkJ PACEV~~.
St. Lucie ~ '
COUNTY, FLORIDA: ST. LUCIE COUNTY FLA.
This is my dedaration of Domkile and CNitenship in the Stah of Florida that 1 am filirp this day in aooordana,
and in conformity with Chapter 222, Section 422.17, Florida Statutes.
I was formerly a legal resident of - -- ~ttCl#~--------_-- --_-_-.- -Oh10
- K'NY)-----~-------- • - ---- ~~ --- ~ Y - --
661 Sycamore Drive ~~~ I ~~ dhanged my domidle
and 1 resided at- - -- ---- - ------------------------------- ..__ .
t3n..r .nd te^nb..)
to and am and have been a bona fide resident of the Stsh of Florida sinoe_ _ _ _ _ _ _ 4 _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _day of
Oetober_--___-- --____---_ ; 1961-., and I reside at ___-_--886-_Airport Road----_____--
---------- ~-- p~ and r~Mn~
Fort Pierce -3t. Lucie _ ~,rtty, Florida,
~~
and this statement is to be taken as my dedarstion of dtiasnship, actual legal residence and domidle in the Stah
of Florida.
prwrt IMr. any p~rlLwnt fKp, weA w atw' of prapwty a bwM~. a nW,q~,Mtrnpw d .wiploynweM M laww dower,
n.wsr+l of frnNy a nw dowAdM, gwclnn of tent, oseJ
Applying for homeste~.d
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1 FURTHER CERTIFY that I will register at my local address when the registration books reopen, and comply with
all other requirements of a legal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domicile, and 1 intend to remain in______
Fort Pierce _ St. Lucie____ _-_ County, Honda,
tcNri
permanently.
% Albert Bockbrab~sr
t~..a
Sworn to and subscribed before me this. 3?'a .-_. -day ot ______-__~.RIII~}i_______.--____-: 19_ 62-
---- Roomer_PQitrassC~er~--------------- -----------------------------------------
/~ROGER ~RAS, C/LE,RK CIRCUIT COURT Notary Public
(~iN~ ~/ i~-c.~r~__--------------- D.C. My Commission expires ---------------------------
BY ---~-------------
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(T. M .x.c~Md 4 d~ +~ «iai~d ti41 vrM, dwk Cie~Y C.wQ .~ i~nN aii~ Tnc A~w...d
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