HomeMy WebLinkAbout1771 ~ ~
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~ ~ Decl~~atlon o! Domiclls a~d Citizenship
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TO THE STATE APID COUNTY TAX ASSES~OR. ~
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ST. tUCIE GOUNTY. FtORID/1s ~
~ This ts my dsdantion of Oomkii~ ~nd pH~n~ip in ths St~h of HorWa that 1 am fllinp thts d~y In ~ooorda~o~ a~d
i~ oonfotmify with Chapt~r 2~t, Section ~ZZ.17, Horida Statut~t. .
~ 1 was formarlv • i~oat taid~nt of - ' ' ~
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and 1 rosided ~t Flow~w?1 haw chan~cl my domidt~
~ (StrNt ~nd Numbu)
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~ ; b a~+d am and h~w'~bsen a bona fid~ nsWent of tM St~t~ af fb~id~ sina day of
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~ ~ 63 iZO~tt s. 25th St. '
19~~., ~nd 1 r~sid~ at .
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1°ORT ME~ S~AIt~R 1NC'~ COUMY, RORIDA.
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~ and thb stat~ment i: ro be taken a my dedsr~tbn of dtin~n~ip, ectwt ie~al restd~noe and domidle in ths St~ro of HorWa.
' (tnsert hsro any psrN~eM facts, wch as sale of p?opsrty ot busin~ss, or rolinquishment of ampio~rm~nt
at former domkite, romoval of family b new damicile, purd~as~ of horrw, ett.)
FZLIl~ I~R HQ~IE~~EAD P'QRPQS~S ~ • ~ ~ ~
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BQOK
' l964 FEe 20 ~n
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~ ~ ~ ~ - ROGER POITRAS. ~ ~ ~
, ~ ~ . sT. LUCIf EBUNTr, F~,~;~~
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1 FURTHEIt CERTIFY that I wili ' aomply with
all otF~sr roquirements of a le~al ro~iclent of fhis Stat~. " .
1 FURTHER CERTIFY that i have no irna~tion ~o roturn to my former domic~le, and 1 intend to romain in fORT
. PIERGE, SAINT LUClE COUNTY, fIORIDA, permanently. ~
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s `:~''9~p~`~b nd sub:crib~d bsfon rrK this ay of F~• , y 19 6
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R ~ Notary Publk
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t df? D.C. My Convnluion ~xpl~
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~ Re b~ aaarhd M~dupNeal~ aed orioind Al~d whb CiMk qrai~ Cewt, aiw! ddppaN D. ~ Taoc ~A
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