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Home My WebLink About1130 ~ O~iar~t~a~ at 0~le ~d G!lUc~n~1P •,~~u~.• , TO THE STATE AND QOlNdT1f`,TAX /~~SSFSSOR~ ' , . ; S1. UlC1E C4Ut~ln?, aoaio~?: ~ ~ Thia h m1r d~cluation of Domicil~ ~nd pti~nship fe t~ $tat~ Af ~Ifi~id0 t~1t ~ am filin9 thit d~y in aooordar~a ae~d in oonfamily with ChaptK ZZ2. S~ction 2Y2.17?, Florida StNut~. . . . . ` ~ 1 wst Ior~r~lr a lpal ~idMt of ~e - l'C~b) lSta») ~ ~ ~ ~ . ; a~e! 1~id~d ~t ~1~ 71et St~t'ee'~ - F~oMrw+r i hav~ d+arqsd my domWl~ ` ~ (StrNf and NumbK) ; . , + b and am and haw b~ a bo~a fid~ nsid~nt af fM Sfst~ of F1o?ida dna ~ ~Y ~ ~ . Dscsbea~ _ _ ~e 63 . ~ ~ RL±- ~ ~3s Boac 162-8 - L~aonb Rd. ~ (Stnst ~nd Numb~?) IoORT ~Q. SAqrT Lt1C~ OOUNTY. !1?OR~A . . and this :taten+snt is to be take~ as my dsdustton of dtf~n:htp, adwi Ipal ~~tds~o~ aod domkll~ in th~ St~t~ af Horid~. ~ (In~f h~n any perttnent facts, wd~ a: sal~ of propKt~? or busiMSS, or roiinc~ui:hn~nt of employmint at iormtr domidl~, romaval of famtly b new do~nidls. Purd~a~ of hon~e, ~tc.) FOR HQ~E~D ~~'1' , ~0! ` f ~w < ~ . . ~ - . \ .a 8 . ' 1 . ~ ; ~ , : ~ ~ ,.S ~ 49 ' • ~i, :~~;r~ M ~s ~ r ~ 1~ ' ~ r 196k fES ,ti ~ ~''••..1P ~s j' R06ER POIT~~ f lA~~ . ~ ' ~ ; St. l~C1E C~~N . ' : ~ ~ y~~ ~ ; - ; , . , . . ~ aJRTHEft c~R'i1Flr that ~ wiu c°"'pty `"id' . aii otF~sr roqui~err~snn of a feqal ~idsnt of this Stare. 1 RIRTHER CER?'IFY thst i haw n~ iMeMion to ntum to s+ny formsr domkil~, ~~d 1 irNenc! to r~nain i~ FOftT F PfERCE, SJ11NT UICIE COUMY, FLORIDA. PermsnsnflY• ~ r .~~~~y~~ - . ~ ~ ~ - ~ ~g ~ s~om m .~a ~.~.a ~.r~. ~ ~ d.r ~ _ ~~r• . ~9...~.. - ~ v° . t~o~.ry Pubik E ` . : g, • : ~ o~c. ~r c~~ . ~ ~r ~t 's~ v ~ ~ IW~R VV t ~ - ~ ~Ti M i~ ~Iie~N Mi al~al AM~ wN~ CINit ~ Gw~ awi ~M~1i wiA~ T~oc A~~:a ~ ~ ' ' ~ - ~L . . . . . .