HomeMy WebLinkAbout1797Declarotiom of Domicile and ~tizenship
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TO THE STATE AND COUNTY' TAX /tom. "•' ~•
st. Lud.s ceuNnr, aatlDA, S~. IUCIE COUNt~~ FLA,
Thls b my declaratipn of Dofnidle and Citieanshlp In fire Step of f'IorWa thst 1 am filirp this day in aooordanoe and
in confomnMy with Chapter 222. Section 222.17, Fbrida Statutes. .
1 was formerly a legal r~ide^t x~ ~ RtiW
t2~.7 l~,tfa~_~_ ___-: However, 1 have changed my domicile
and I resided at ----'-------------
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b and am and have been a bona fide resident of the State of Florida sirxe_____________ 16--------------- day of
1~lovember _____________, 19_61 _, and 1 reside at ___ d001_S. _Inditu-_ Riger_Drive
------------------ (SInN .nd tiwwbcr)
Fort Pierce _-- ___-- -SL.:- Lit----------------- County, Florida,
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and this statement is b be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
iK1,, wd, w ~.Ic of popKb or bwinw„ a nlinquiaM»r-t of ~nptoyw~nt d forma do,nictb,
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rwwvd of fnnily w r,cnr domk3». Pam
Applying-for homestead
- 1018'71
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-~ ', ~ 1962 JAN 15 AM 9:
- - , ,.. ,.
,.:.. . ,
~'''' ' "'~ ~` ROGER POITRAS.CIERK
' -•' ~' ='~_ ~- ~ ~'~~ - St. LUCIE COUNIY, FLORID ~ .
1 FURTHER CERTIFY that I will register st my local address when the registration books reopen, and comply with all
other requirem~nti of a legal resident of this State.
j,,Pl1RTFIEti.~RTIFY that I have no intention to return b my former domicile, and 1 intend to remain in
Fo '' ~ ~~ - - ----------- --- ----------St.- Lucil----------- ~nN• Florida,
pethmrierMly.• ~ :. L A - .
a . , ~ _ __~nald_ 0. _l3ar~+avaaat~_-- _ ---- - ---
., ,.....,. ~-aa..,.t
-- --- --- , 1962 -- -
Sworn to and subscribed before me this_--___----15_--- -----dsy of ___ -_ __- -____-- 'j~~~i-
Roger _PoitrastClerk_ ___________
RO~GE,R,F'OIT CLERK CIRCUIT COURT
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Notary Public
My Commission expires ________ -------
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