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HomeMy WebLinkAbout2006 ~ 123g19 r~ ' D~cl~u'~tlon ot Dorttlail~ a~td Citisinship ~ . . ~ T'O THE STATE M1D C~OtJNTY TAX ASSESSOR. • ~ ` ~ s~. u~a~ cou~nY. aoRia?: Thts is my d~daration of Canidl~ and Citi~nshlp in th~ Stat~ of Florida lhat 1 am filleq thb dh? M~ooordano~ and tn aonformily with ChaptK 22Z. S~etio~ ~Z'2.17, Horida Statula. ~ V/~ ~ . 1 was tormKly a Ipal na1d~M of ~':'v _ K'~b) ~at~) ~ and i~WW~d ~t~ ~~~~~~i • I~Iow~vK 1 h~w clwnp~d n+~t domkil~ (StraM and Numb~~) ~ : b and am and haw bNn a bona fids hsid~+t of th~ Statr of Florid~ ~ino~ ~Y ~ ~ ~ 2/ s~•~~~~ ~ _ .~+a ~ « . ~t «d trumb~ I ~oRr ~ sr?n~ wca oour+nr, w+oa~w ~ ; and thls :tat~in~nt b!o b~ tak~n as my dedu~tio~ af dd~hlp, actual lp~t r~ld~na a~d don+idi~ in th~ Sht~ of Horid~. ~ p~t h~n any psrtin~M fach, wd~ as aal~ of propwty or b~niness, or nltnqui~xn~M af ~mploym~eM ; at formK domidl~, ninoval of family b n~w domkil~, purcha~ af horr~. Mca ~ f ~ ~ . ~ ~ ; ' . , ~ . ` ~ . . ,~i2i~~ . , " . ' . RE ~ ~ , o, ~ . ~ ~ ~ . . ~ a 80 ~ . - ~ t . ~ pM~2: 46 - ~I~ 6 ~ . 1954 FEB Z • ~ - ; ~ p01YRAS. t~ERK : % ~ . ' CIE CBUNZT. flOR10A - V~~!~+ • ' $t. LU I j~l .A 1 t I~~~E~+~~~~%'~" • i , ~ ~ 1 FURTHER CERTIFY that 1 wiU aomply with ` ~ sll othK nquinewnts of a{~gal ~idNn of this State. ~ i. E i 1 RIRTHER CERTIFY th~t i have rb inh~tion to rNum b n~y forrnK domWl~, and i tnt~nd t~ r~rain M FORT F ~ ; . PI LUCIE COUNTY, FLORID/?. PermansntiY- ~ _ ' ~ ~ ~~i? - ~ :r~~ • . ~ ~ ~ f ~~i~ ~ ~ ~ . f ! `.t~ ~ . ' . . -t ` ? • : r (~lddnt~ ` , ? •••.....N~'~ O•• ; ' ~Yil~ ~ ~ ~ Sw~n to and wbKrib~d b~(~on ~6 dh/ of ~ 19"~-..~ ~ 1 ~ i F ; • ~ i ~OOiR r011~A= . . ~ ~ ~ ~ ' ~ Not~ry P~Wk ~ a~~~ O:C. M~? ConMN~ion ~xpk~s ~ ~ ~ ' ~ . . ~ ~ ~ (Ti M~oawl~i4 M~caM a~i ~i~~l t~i wM~ qNlc Clra~it Gwy a~i ~~IM T~ ~ ~ ~R - - - ~~..~.~~.~..~>~,~.~.-a~_~.f-... _