HomeMy WebLinkAbout1792tion o Do2intc+~~~ Citizenship
~~~ ST. LUCIE COUNTY. FLA.
TO THE STATE AND COUNTY' TAX ASSESSOR,
This is my dedsration of Domidle and Citiasnship in the Sts» of Florida that 1 am filing this dsy in aooordana and
in conformity with Chap»r 222, Section 222.17, Fkxida Stalut+a. Pennsylvania
1 was formerly s legal reskient of_____---- ~ paw
~-
3532 __-• Hovwwr, 1 haw charged my domidle
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and 1 resided at ___---~-~ «+d t~hwwb.e)
• _-- des of
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to and am and haw been a bons fide resident of tM Sts» of Florida sins____-- ~ -----
end 1 reside at ----~~~_~II;ILdB---------------
Ste, Lucie ____-- County Florida,
-------------Fssirb_.E ~~------ --- -- . -------
and this statement is to be taken as my declaration of dtinsn:hip, actual le~sl reside+xe a~ domidle in the Sta» of Florida
a bwteww a nlNq~'W""aM of ~Pbrn»^r of tang don~dM.
power Mn .nY P~~ f.cb. wd~ fR wM or propab
penov~l of iMnihr a mow doeddM. P~AHw. d hones MCA
B~stablish Residency
FEED AND1 .,,,,,,,,.:...,;,
Q0 ^'~ ~.
U~ f a • .t°%j ~ i
Oa~}I~.. l ~ .-,-
1961 JAN i 3 AM 10: rr'~' ~ ._ ~ ~ -~ `~ ~ j
ROGER POITRA '` r ''~ ~ ~ ~"~
. aE~= ~.:~,~ . ~ ~N
ar. ~ocie cocNrr s ~ ' -s
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~c,~'i4n-NnN• .~.
i FURTFIpt CERTIFY that 1 will rester at my soul address when the rpbhatbr- books reopen, end ~~Y with all
other requirements of • IeRa! residaM of this Sta».
1 FURTHER CERTIFY that 1 haw no iMentlon b ntum to my ~"~ ~^"~~• and I intend to remsin in
---~~~• X73'""Jf------a~'i~-.~~~---------- e
,• U1,s,COh..,~ taM -
........ `• ' i
F~sU~~ r r1- ')s •-
------$Saa-~~.l------------------ ~n~~ Florida.
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j~i, . ~ a Hpns~eLh ~~
rr-~ /ltlt_ ~~~_._.. ~.~....d~-
Sworn to „~~ ~~ Y .. " -
-
'--------- ~ CtERK GRUNT OOIJ~f _.......,......_ pnbik_ -- -----------
RY ____ - -_ -- _- DEC. ~ .
~ N ~~ 4 ~+M.+Mi ~~1fi:/fiM ~:. ~p a~ ~ ~~ ~' hrr IMt+nrf .
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