HomeMy WebLinkAbout1485. ,.
• z
:, „ ,.
~ ~~...
___ ,
~ `~
_ \
.p
D~cb af, a ~
r0 THE STATE•AND COt1NTY TAX r .- . ,r , ~ . _.
$t• ~Oie [YYBiRY lUpR10A, ~ , , t-Y:a,
3
This ~ my dadaration of Domidle and Citi~ahip M the 9tNe of Honda that i am filifq thb day in aooorduroa and
in conformity with ChapNr Y1Z, Section 2.17, Honda ShNMaa: ~ ,
1 was formerly a bpal rakfe~M of tom.-l~l,~d ---.---_...----__....._~~, ----__~~_~0[..~OSjL-
lQM -
and i resided at _ Fltuuniinn~o u-d Lix~lc ,~~11te ---------------• ' Horwver, 1 haw charged my ~omkile
-~.« «~+ w~e«t
to and am arxi haw been a bona fide rasWent of the State of Fbrida sine--~-------- 5-------`--°-- ~Y of
NOVe>eber ~--- j--~ fq_~' _, and 1 raids at ~3?19 St' xarks Road -
------------------ -~ psrw «d r~w.e.~ -
3t . J area part Fort Pi earoe ~ _ - St, Lne~t-nty, Florida,
taM .
and this statement is 1o ba liken a my declanMion of dtinanship, sctual .legal nskfence and domkile in the State of Florida.
pewA hire any p~rtiMnt faep, wd+ a. ~aM d propKlp or l~~Yw~, a nlMgnMirwM of Nployn~M p fo~nwr dowidM,
n.nwal et f.~ily b nw do~rdM, pwrl~. of taws, MeJ
10~~
ApplFing for hwtieatead ~ ~~I l~
. 1961-8 ~I1:46
=RO UC E COUNTY FL~EiRK
ORIDA F+~'"'
a '
~ ` „~. ~ r.:. .
••'~'•..,.~ ~ . • .,~~,, y .
t:
I FURTHER CERTIFY that I will register sf my local addross 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 myEformer domkile, and 1 intend to remain in ,
Fort pierce St. Lnille _ county, Florida,
ct~r)
permanently. ' ~ . ~ ~~ .
piw)
~ '-
-,,; -
____~. ~..11i.~~1[_Reissb~itt--------------
cnear.wt
Sworn to and subsaibad before me thk___-_-_r.~-__ a_~_day_of,
~ - s
- -9lZ~ER ~~~r K d~cutT cou~r" _
BY --- ~~~1_ _ ~ ---------------- D.C. _ r
_...-
cr. >» .....~ ~ ~M..~ ~tsrwl tw .itl- qw1 ~,.
J~ ------------t--. 19 . ~_
..:~~ ex~Ores-------------------------
•
~a..r..M A.c ~...w.•!
frCO. R. ~1[ACt