HomeMy WebLinkAbout1969$~a~ '- 27~ n1~5~
Declaration of~t~c~~~~i~iZenship .
- ,. .
TO THE STATE AND COUNTY TAX ASSESSOR, - '
.,, ~t d ~ -COUNTY. FLORIDA: „
This is my declarstion of Domidle and Citisenship in the State of Honda that 1 em filing thb day In aooordanw and
in conformity with Chapter 222, Section 222.17, Florida Statute:. -
Donaldaonville -Oeorgia-
was fomterly a legal resident of_______-~-------------------------------. ----____--
tClhd ~ ltitte)
and 1 resided at ______-- /il0_____l~tth_aL~eAt ____________________. ever, I have dhanQsd my domkile
i~••t .nd n~r~n..t
ro and am and have been a bona fide resident of the Stele of Florida since______],8.t_______________ der of
~hiti e
-----------~33IIe_-------------------------• 19-~-, and i reside at --~~--~.T~C.~4u$~ ---Cit~-
(S1re.t and I~Miw~b..)
Ft.Pierce ~ _ St.Lucie
-- ----------------------------------~-------- --, ~----------------- County, Florida,
cclty) _
and this statement is to be taken as my declsrstion of citizenship, actual Isgal residence and domicile in the State of Honda.
(Irrart tiara any partinant tatter, aud. as aaN of property a buainaa„ or nllnqubMwnt of employmfrr at trxmar domicib,
rwnoval of family to naw domiclb. Po+o•wf. of t101M, NCJ
Establishing residency and homestead
101'3
~p n~tp ~ECQR~800K
IN ' '
. ~,. ; ,, .__'.. ,:,, 1961 JAN 17 PM 3:53
;. ~ .~,'~::.:%-,.ROGER POITRAS. ~
f LORIOA
1 FURTHER CERTIFY that I will register at my local address when the registration books reopen, and comply with all
other requirements of a legal resident of this State.
1 FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend to remain in
- - - dart-Pierce--- - ------- ----_, _ -------------St~~~~i~----------- County, Florida,
- (City)
permanently. -
~'_ - ~-_~ _--~~(1~4-~_----------- -
- (kama,
Lillian E. Kirkland
,.
...
..•~~ ~ ,
:. ~ ' tirlaua 62
Sworn to and subscribed before me this- -- 17111.-~ ~-~:_'¢dji'o~, ~-~-s-----.---~-------------_- --- -, 19-----.-
R FR POITRAS .- r•~~•~• ~ ~: ~ "
R POITRAS ERK CIRCUIT COURT = ~ '' ~ ti- '• • r . Notary Public
~ ' t • • Jv
- ~t-~--e -~-----------__~b.~. a M)-~Commission expires--- -----------------------
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