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Declaration of Domicile and Citizenship TO WE StAlE AND COUNTY TAX A~"t~. ___.___:Jt.._1w::i f.l~C(}l.INfY. flOiIOA Wi 32 .600 . ,.... ., ST. lU(1( COUNTr. ra,: .. '. ... - .. . .. Thi, i, If.-'S, d.d~,,,I'Ol1 of Uvmid~. .i-nd CII'llffil-fHp in the SI~!1& ::1 fio-dd<< rial I em fil!n-~ \'hi, {My in .uOfda~ .nod In t.onl\X1f1lly w,lh Ch4ph,.r 'rn. ScKfi<;-n 222,1]. fiorld.. ~'.fvt<t1 I wn forrrnuly .. 1Cl"~1 ,.ud~11 of. _. J ohnstolom ,__ ._.._ ~'~\.:,-XQ", ~ (CifTl 6nd I rtn'-'~ ftl 87 Ea~l t r'~a i n .. Howt.\ll. I h-&vt"h_ng6d !,ny domkil. l\ff...' ..-d ~) . to and /1m "nd h!h e t-eef\ ~ l'Ol\ll l,~~ re-\ident (If the ~15tlll of f lond. ,irx. .l. diV of Novcmbt;l- .,_____.. . 19_61. end I rel;~ at _-~19St.,J,Iucie,J\ve. -....----- (1tr.,.c ~ N>.-~) :dl.ti..u~..x adx~ n ;.:"0.. \.' . . . ___.~ art .Pi€L..CfL_______________ _______~,___~t....-_LUCi.6 _____.'u_ CO'Jnt-(, flOl'i-d4. {(it,) and lhi\ llstef'1<'nt i~ to be taken in my dtKhHa!ioo 01 cilil..-lmip, ~~t\je! ~31 tll'liditn<. and domkde in 1110 SI.t., of flQdda, ~t!";....,~ h'!1. .!"fy f"""^,,~' ~~.tl. t-_.d\ .. ...t.,; e~ po-op+ff'p' ~ l-..~........t ~ r.iF~~~~ -:r1 ~tc,-...,~t I; ,~....:.. ~i::ti~, ,""""....1 col ,"",.iy 10 ..... lio.'....;oloo, p.~ of ~. ."} Appl.yiny, for homest-ciid {) 1. Og 06a FlEa A 1.fn IfL0Iria..7 RfCORDfO /961 If4R R.c~ BOOK 28 PM 4: 37 R~GER POI . ST. l. UCt[ cou~~fS. C~[R.~. f: . FLOttlDA n LL () t (tv}t . - ... \ _: ,; / ,~ ....\,.': :':> ~. ... :~_:,~':' ': ~ .'.> I FURTHfR (!IlTIf'f Ih.lll will (('~,;1tH lil my 10<<'; o-ddr-eu wh~n 'he 'l.YJI\~f/lI'O'il b<::.o\o., f~pen, and ('YT1ply wilh till "',!~f reqvire.m&nl~ of ~ l~a1 r~;ldo}r;1 01 ,hil ~t!lle ~ i F\JfHrlfR (torrifY !hM I h,!vtl no lnl~fllio" 10 'tl!;Jfn 10 m-y form!!r domiCIle, 3nd I ~"J I . Fc~t-' Pinrne f .j ..t ~ ~p..... -. v ~ .' >~: '.- '. _..',~ tt~!tj Inle-;",d 10 '&m~in in 0t.. LU.C1Q CO'.Jnt'(. f!Qfida. ~ . .. " tmi>.~.'.>><".J p:o~;. ~ 'r~- '.~'. ... ' .... (.. . J. .' /,"J" ~' -, I ::~j,~ f : . }t ~.{_tl...4 (,vv~.l-< J~./H_A."""/ (?<.."''Ci of" ., ./ .'.' "l' .' . . , "..... 't ; J . '.. {,..A._____idi ~t.{} vi i 11 i fu"I} F f3 C hn e r S.,.."(;.-.,, , I:) <It,d. "), ' t;..t-d bdoiC ,,1@ Hll1 2B March , 19 62 d~y o! By - Ro~or Poitr~u.Cle:k . F> ' ",' '" ".. ,'.. A ,.., [ 'v C'! "r' t c" .' r !<../..'l"- r . 'Y) '-.l ,',... . >;,.\)1, ^',Jtl~ A f._/ ,/ U'W,.,~ v (}--1...~.l<l..( ,~ N,"'~fY Pvbl;<; i/o-"- Cb~"'1;-q!'i~iD1' .;-(.pitci v.( ...,.,..,.._~~...~__~~____-.-....-......-~~-------",,~-1-----'..4>.. ..:.. To In ~..,"'.... ... .t..",.!>!..h ..-..4 .,~ ';",4 ...\IIlo ,....40- r.""",. C-l, .-<! ....,.,~ ....1It> tu ~"'l ~ ~, ~ = F;-:;