HomeMy WebLinkAbout2278..-
V `~~
. ~'~~ ~ - ~
~~r. ~ur~ eou~itY. ~t,~.~
TO THE STATE AND CCK1Nn TAX ' '
_ ~ Lucie pOR1oJ-+
f ~
Cit~s~n~P
28 X147
iST. lUC1E COUNTY. FIA.~
- --~
St. ~
1. «td~citP ~ ~.~'! ~ p°rra' ti,.t i am filing thb day In aooordar~
This a my d.daratian ~ Domid
sa+o~ m ~y, iHo~ido s~trtw«• _ '
in conformity with Chaps R~• ~rY-____--
l Was 1WrrlerlY a ~i rraideAt ~-------~~A~~~~ ~ ----•._._a--------• -.~-
` Q~~pd.,~T~lu~e- Howewr.~l haw d+artged my domidle
~TBR1r8G>d-g~----
and 1 resided at ----~ qw~ ~ te~~
-__ ------ d+Y of
state of i=iorw..ina___ s ------------
>p and am and haw been a bona fide resident of the 62 i rude at _ 1010 Ohio Arenus__-_-----
-------Septea-ber-M___~-=------------• iq-----• and ~ .~i t«~~«i
3t~---------------- CountY• l~torida,
-----------_- ~sxt_~i~cs---_ - -- -- -
` actual iegal residence and domidle in the State of Florida.
and this statement is to bs tsken as my declaration of dtizanship,
f , M ~ biwi~„ a nNnWM~N. °1 ~Pbr~ N tanwr dan>e~.
piwrt Mn MY PK~Ywnt
r~nwv~l of f~mgll 1o mw
Establiell Reaidencq
- 1U2131
R ~800K
_,,. ..
,~`~. ` ;~: `•:h}`/' (.~~ _ 1961.1 S. CLERK
-t •'~ V_~~; i/ O ~~ _ :RpGNEna pp0e NtY EpRIOA
". ~/,~; ••.. .• Vii...
•~'••, ~E ~ Cst~ ..
~~,
local address when the registraYwn books reopen, and comply with all
I FURTHER CERTIFY that I will register at my
other requirements of a legal resident of this State. former domicile, and 1 intend to remain in
1 FURTHER CERTIFY that I hsve no intention to return to my Coun Florida
-- ----- -------=---F~:Pierce---------------•
- _ - ~~
~ . '~~•r ~ '••. :•' •~
ti ~ s 4 j~:•.. 'a '
••~+•6i 1 ~_l~ • 4 ~.
_ to : ~ ~•~ .. ...
' •y~ ~t.a'F~.,.,
t ~,,.,,,,~~ ~~' ~ • bet
Y.
ay
~er~~;~------ I ~~~ ------ ~ -------------
Horst Heidebroek
---
-------------------
------- (Add•Ma
ms this----Z?-~~---- -----daY of
- -----------
---------Notary Public
R. i..~•+ M +w~.....+ «~ a.+ .~ a.•k a».a c..•~.
-- - ----------- 3~_Lkei~------- ~+•
--------~~nu~X-----------
..+ +.~.» .a- Te:
s~ca. ~• •~cwee