HomeMy WebLinkAbout1795.~
TO THE STATE 14ND COUNTY TAX ~-
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Thb is my dedaration of Domklle andCitittsrtship i~ ths•State of Honda thN 1 am flikp this day in aaoordana and
In conformity with Chapter 222, Section 224.17, Honda StahMtts.
I wa: formerly a Ipal nsWem of_-- POY'LO>•0~11t21 ---____-~ ----------_-__-: -- Ya. ---------____--
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and I resided at _ ld C~porua ltd. __-. Howwr, 1 haw charged my domidls
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to and am and haw been a bore fide resident of the Stets of Florida linos-____-- l~ ---------------- day of
__-- QC~~~----------------------.___-, 19__~ , and I reside at _ Bsa>a- RiYagsl~P!_ Os_ Hoe 1274
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izZZ~ Ft. Pierc• 3t. Ltsci•
--------------------------------~~~_~~---- --=----------- County, Florida,
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and this statement is to be taken as my declaration of dti~snship, actual legal residenos and domkile in the State of Florida.
Orw.t IMn-any p.rtimnt f+cM, wd~ « sd. of prohrq a bu~Yw~„ a nNnquyMMM of .mpbynwnf .r fornwr domklla,
nnaval of f~mity to mnr dow.kib. paciw. of t+am, MeJ '
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1961 JAN 13 AM 10:56
R06ER POITRAS, CIERK~~~~(J
St. IUCIE COUNTY, FlOR10
I FURTHER CERTIFY that I will register at my local addreu 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 fi my former domicile, and 1 intend to remsin in
- - ------ ------~t-.--P~rca----------------------. --=--- $t. _LuCie----------------- County, Florida,
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permar}RntlYf•.
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" $Lysr~rlo.ar~d iu~s~bed before me this __ l~~ ___-- --___day of _ JaAUart__________________--
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ER T LERK CI COURT
BY -- - ------------- D.C.
Notary Public
My Commission expires--------------------------
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