HomeMy WebLinkAbout1736D~clarotion of Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR, ~~ ~ 27 ~~n
St. j+trc ie couNTY, aORIDA: - o
sr, ~uciE rout
This Is my dedaration of Domkile and Citinenship In the State of Fk+rida- ~-~~Iin~ this day in aooordanoa and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
was formerly a Ipal resident of________~Bnd,Qlpti-----------------------. ----Ke1LSOrk_____--
!ah) t>s~
and 1 resided at ___~Fi ~.*----------------------------------------. However, 1 have char~gsd my domidle
(3~raat and tl
to and am and have been a bona fide resident of the State of Florids sinos___U-__ 1 ___________________ day of
} Soles A~anue
--- J~-~-----------------------------• 19_-~, end 1 reside at ----------------------------;--
(Shr..t and hiwnbar)
---~Li]Ct_~~,_ ~5~4•.. F4.]CYi_ p~~~p ~--St: LuC3e---- minty, Florida,
KM) --------
and this statement is to bs taken as my dedaration of dtizenship, actual {e~al residence and domidle in the State of Florida.
QnsaA teen any pertinent fads, suds at aala of poparfy a busMnss. or nlNgvisMna~M of .mploymant of fames domitib.
rwnoval of family b nw dorddle, pwchwe of hang. Mtn
Applying for horeleatead
101835
BOOK
1961 JAN 12 PM 1:20
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a0G CIE C®UNR'~•sFIA
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1 FURTHER CERTIFY that 1 will rpister at my local address when the rpistratbn books reopen, and bbrnply with all
other requirements of a lapel resident of this State.
I FURTHER CERTIFY that I have no intention to return b my former domkile, and 1 intend to remain in
„~. st. Lode
! ~ County, Florida.
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-Sworn to and wbsCribed before lrle this-------~--------day of ------~-•-----------------
__~~~t,ras~ a _._~---- ~ -------------------------
/ --Not Publk
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