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-..a . -a~.r--- ~ - ~ ~ . . i ~ ~ ~ . . , i ~ Mclaratto~ o! Domiaii~ and Citisenship ' . ~ . ~ T'O THE STATE AND COUNTY TAX IhSSES?"4R. ~ ST. WCIE COtJMY. fLORt0l1: ~ Thb k my d~darstbn of Oanidi~ and Clti~+sldp 1n tM St~t+~ of F~ida lhat 1 an~ filirq thi~ d~y M aooorda~a a~d in conforrnity with Chap~ StZZ. S~ttion Zl~.17, Hotida Ststut~s. - ~ - . ~ ~ 1 was formKly a Ipat ~sid~t o# ~thena ' t3eoMtia ' (iqty) . ~ . (Sta») t ~ - - - . ~ ' . 1 NId ! f'Nid~d ~t H111t.~p iOtd ~:i~Ipywrwr i n~~ri a.w.~wi ~y w.:~,:l~' t cs~r..~ .~,~a : ~ ~ , a.~a ~+.~a ~ ~ fw. ~w.m ~ a,. s»~. o~ ~d. a~. dn? ~ : ~ ; 19~, ana ~ e~atd. at ul.~ aeach `C+~m~ ~w{~ ~ - ~ ' . ~ „{N~~ ~ii~~i . i,~ . ~ ~ ~~j~~~j~ _ u~d thh sfat«~t is w b~ tak«+ u my d~dantio~+ af dN~nship, adwllpat r~sid~na and domtdl~ in th~ Sht~ of Fl+orida. p~aut Iwn an~ ~ttn~+t facfs, such ~ ~al~ of p~opKty o? b~+sin~;. or niinquhiwn~K af ~~~picyn+M+~t - at formw domidl% hmoval of funiiy b new domicil~, pundias~ of ~on~, Mc.) . ~ . . ~ ~ - . • ~."~.arirtg Is2t~ ~s4 ~o~edeeci in tbs 3a~ ~t~catls ~ ~ ' s, ~ ~ ~ D RECORDED : ~ ~ ~ m'~_--- sornc - ~ ~ 196b FEB -3 AM t0: 23 . ~~~t . . . ~,..~N•••••..,? _ ROGER POITRAS.C ~~;~f St. lUC1E COUNTY. fLORi ~ ! ~r.~~ ~ • . . . _ . 3 ~i '~:t I . . . ~ ~ ~r~~i~~u"W • ~ ~ r r - . ~ - - - ~ ~~I • t , • ~ ' ` ~4••~ • _ . ~i/E f - ~ ' - . - '1 FURTHER GER'iiFY that 1 will - - aomply wlth ~~11 othsr nquirarn~nts of i le~l resid~M of thk Stste. ~ - 1 fURTHER CERTIFY that I have no iMention to retum tv my, form~r danicll~, and 1 inNnd t~ r~in in FORT _ Pt~ SVNT LUCIE GOUNTY, RORIDA, permansnNy. ~ . ~ _ _ .~.~?~,a, .~z B.w c~ ~ _ cnoria F. Ba~aea _ V1~ddraa Sw~n b a~d wbsaib~d b~oh n+~ this ~ d~?.of ~ 19 ~ ~1 ~M~~rti ~ott'R~~ . ~ : . oatcun M ~ i'' , ~ O.C. .s w , ~l~• ~ r . ~ ~ K a~ . ~ . ~~~t ri . ~ Qi w~i M du~aN au~ wi,iMl l~ wi1M QMk GraM wt1i~ Tiac AM~wsr.I - ' ; u . , ~