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.Ka~4,- ~ z ti_,_ ..rai, . • t ~"M:i.'^:~".`.'!°i_.~eT.~ _ _ '~"iMSCMtT?j~ =1 , . ~ t ~ • - . ~ . - . . ~ t ; ; • • . ~ ~ - - • , • { . ~ D~I~ratlo~ ot Dornictie and Citizenship ~ . . , , ~ ' ~ j.: ~ ~O THE STATE ANC QOIJNTY TAX AS.SESSOR. . ST. LlJC1E GOIJNTY, FlOR10/1: ~ ' I . . , . • i~ Thi~ is m~? d~dustion of DOmkil~ ~nd Cltinenship tn ths St~ta of Hotida thN 1 am Alin~ fhis dh? in acoordana a~d ! • . - , t in co~fo~mity with d~p~er 2~2. S~ttbn 2~'2.17. Horida Statut~. : . ~ ~ . Baha~f?s s , I was formKir a Ipal rosld~nt af ' ' Ki~Y) ' (Stat~) ~ . • ~ ~nd 1~id~d at HorvwK 1 haw dwe~psd my domidN ~ ~ ~ ~ cs~..~ .~a ~ ~ . ~ b.nd .~n .na h.,r. aesn . bona Hd.•~id~m of tt~ st.~. af Fiorida sino. dn? ~ ~ . . ~ tv ~ .~,d i ~d. r - ~ ~8 ~~enme x ~ - (5trost and Numbsr) lORT MERt~, SAINT LI~CIE COtlNTY, RORIDA ~ and thi: staterr~t i~ to bs taken es my dedaration of dti~+ship, adual lepal ratdenoe and domkile in ths St~ie of Horida. p~t.here a~r psrtinsnt facn, wch a= ssh of propsrty or b~ntnsu, or relinquishme++t of ~nployrnimt , at tormK dankile, romaval of family to nsw domidle, purcha~ of hon+e, atW ~ . . . Beta411ehi.ng res3.de~acy !br ho~sstead pn~osea . ~ _ ~ r~ ~ ~ ~ . ~ R~COROFD _ - . f t BOOK . * . : s=`- ~ . t9sa ~e ~n i i: ~ 4 . ~ f ~ ~ ~ - ~ : • ~ . ~ ~ ' ~ } R06ER POtTRAS. Ct~RK . ~ ~ . ~ : f. ~ ' ~ ~ t ~ ~ Sl'. L~CIE CA~Ntr. ft1RIlA ~ . ? f ~+i : v 1 - ~ - t • ~M~~' • ' . V~r~E ~ - . ~ • ' • . ~ . . I . • . , . ~ . . - . . . . ~ ~ . x 1 FURTHER CERrIFY that 1 wiQ - ~P~Y yvitfi . z all other requiraments of a le~al rssident of this Sfate. ~ 1 FURTHER CER7'IFY that 1 have no intention to rotum to my former domi~it, and 1 inte~d to remain in FORT ; ~ It ~ WEACE, SAINT'LUCIE COUMY, FLORIDA, psrmanently. ' ~ ' ~V11 ~p ; ' ~ . ~ ~~r~ 1 - !.`,~s ~~:~~1_ ' (I'lank) • . ~ £ = . ~.,s~~~~ c; - ~ ~ : • r' ' : ; ~ i ' Y.ebnltu ISsclca~ ~ ' 't r ~ . ~ - , U~?4#~ t~t1E ~p. - t ' . ~ ; Sw~n ~o and wbscribsd b~fon rr~ this ~ d~y of /lrebru+~1~4 . 19~L~ ; ~ , ~ ~ ` ~ ROOER ~OITR/1~ ~ - - _ : C~Ct1R COtiR~ Notary Publk ~ • ~ ~ O.C.` ~ _ My Gommtuion expiros ' ~ ~ _ . _ • BA~K UV ~VtJ ~ r; Ro b~ ~naA~ in du~eM~ and ~i fiwd whb Cf~k CiKdf Cow1, aAd ~ wkh Tax Msa~ora i . . . ~ . . ~ . . , ' . . 1 ~ - - ~ . :4 r.