HomeMy WebLinkAbout0731,~.~. ~ 3~
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`~cclaratinn of n~ort~ci~~ and ~itize~~shi~
TO THE STATE AND COUNTY TAX ASSESSOR,
3T. LUCIE COUNTY, FLORIDA;
This is my declaration of Domicile and Citizenship !n the State o[ Florida that I am f~in~ this day in accordance
and in conformity with Chapter 222, Section 222.17, Florida Siatutes.
I was formerly ~e lek~al resident of grc>ok1Yn. N ~1' .
[City] State
anJ I rz~ided at :? 7 5 5 Op P fl n ~ n gy ~,~ .However, I .have Than ed
[Street and Nuanl,er) g my domicile
W at~d am and have been a bona fide resident of the State of Florida since. _ _ 13th day of
November ls~?~ ana I re,ide at Pa1.z1 Y to Trailer R~1~_
33rd St . [street and Number]
FORT P1F.ItCF, SAINT LUGIE COUNTY, FLORIDA,
and ]his statement is to be taken as my declaration of citizenship, actual l~~gai residence anti domicile~n the State of Florida.
(Insert here any pertinent facts, such as ssle of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile. purchase of home, etc.]
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Entering Jonathan Harold MaBrdde:. i-n $lementaxy School
11.03'72
FIIED AND RECD;°,DED
IN e6A~..8001(
1962 NOV 15 AI'11O: 23
ROGEf POITRAS, CLERK
ST. LUCIE COUNT, f'LORIOl~j
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I FURTHER CERTIFY that I -+vi11 register at my local address when the registration books reopen, and ^omply
with all other requirements of a legal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend to remain in
FORT PIERCE, SAINT LUCIE COUNTY, FLOFtiIDA, permanently.
[Name]
Palm ~liatat Trrwiler Park, '
-- . ~,
~>SsvOrn ~b`1DC2.~1-ecribed before me this__ lath ~iay of NOVeaab>,r ~ ,Y 1g 62
J : ~ s' ~-*
c ~ _.;~:'~", •- L'j. FItK(~CIRCUIT COURT ~ ~ Notary ~iblic
',~~'~-.,•-:. - ;.~.--~~~•~~"'' D.C. My Commission ex?'sires
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' ' [To lze executed i~ arpiic:.ta arad oriaissrl filed with ole:k Ciicnlt court, and dJnpZ;irate with ~u Asse~sorl
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