HomeMy WebLinkAbout2452Dsck~ration o~ Domicils and Citi~snsb~ip .
TO T1ilE STATE ANC QOIJNiY TAX A55ESSOR. QVU~ ~ ~rV j~tj
• sr. iuciE couNTY. FIA.' .
Thb h n+y dedaratlon of Domkile and Citiiterahip in tiN State of florWi that 1 am filirtq thb day in saoadertoa and
to oonformiy with Chapter 222, Section 212.17, trlorkla StNulea. .
1 was formerly . Ipal resident of__-- ChATleston_______________; ---__-_-. -_-~il~ ~'-~~-
iY1M
- 1 haw charged my domidle
and 1 resided at -------~~ Q$~[![9Stl~_~~-'"'_'------------------. However,
prr.M «wl t~c.1 ~ -
ro and am end have been a bona fide naldent of tM State of Fbrida sines-------~------- --------- ~ °'f
~CtOb~` ___-. !9__ ~, and 1 rssWe af -----~~-$T~~'~~--~7~---
---- cs~.•r ,,,a ~.rl
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Fort Pi a ~4------------------- ----------- Count',
and this statement is ro be taken as my declaration of dtizenship, actual Ipal residence end domidle in the Stab of Florida.
pewNt Iwr. +nY P f~cM, wd~ as .ab d propcrtr or bvaM~.ti or nlLrauWrmee of .•cPb'f~a q toenw domiefM,
rmav+l of f.mily a n.w domfciN. Pv<dw. d I+a~M. MeJ
Applying forhomestead
102234.
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~ 1.11.
-1962.1f W 25 ~
ROGER PO Nj'1 ~~~
. LUCRE ~~
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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.
I FURTHER CERTIFY that I have no intention to return ro~ my former domicile, and I intend ro remain in
Fpit'C Pi~rCe--------------- - -.------------•
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.:wNrw_`'tiro , f~~
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----____-- st._Luc1e____ _-._-- .Count', Florida,
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___7C Walt on_~~_Cassity_- _ _ _.- _ __
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Svvoin•t~ ~nd ~ubsuibed before me this _ _- _-- da of _ _ _- - - - - - ~SIIIiJ~ - - - - - -
..... ~ -- -- ----- Y 7
--- - g0 @T-P~1.~.2 ~.Bx$---- - ---- ------- - - ------ -
R R POIT CLERK CIRCUIT COURT Notary Public
, ~~
-- --___ _ -- 0.C. My Commiuion expires - - -
---- --------- -- - ------- - - -
BY - -
(T. M .s«.u+ iw J.~N.aN a.~ «yi.d IM.a rrYY C4•k ~ Gwb .•~ ~+» .rM Tax Ac~.t
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