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1512
i ~ ~ - - - ~ ~ , 124'?'~01 _ Dealaration ot Domiail~ a~d Citlz~nship TO THE STATE AND C'OUNTY TAX l~SSESSOR~ ~ . S1. llJC1E COUNTY. IRORIDA~ TMs h my d~clantbn of Oomidl~ and pti~hip in th~ StaN of IqoHda thN 1 an~'fiUnp thb dh? In aooordai~ ~d i~ aonformHy wtlh Ch~pt~t ZZZ, S~etio~ ~'22.i7. Florids S~atu~a. . 1 wa formuly a Ipal taid~t of _ - • , Krh) ~ i~tst~ 1 . ' f~ 33 ana ~~d .t How~.wr ~ h.~n: d~d my don~idM ~ cShr..t .na IVun+b.r) _ b~d ~m and haw bNn a bo~a f~ hsid~r?t af t~ ShN of Horida sina day of ~ . ' / .Gt~..~~~~ia~ ~ i9~~ ~nd 1 nsid~ M ~ , Nun+b~ lORT f~A1NT UICM ~OtiN1Y, RORIDA - and this uahmu~t b b b~ tak~n u my dsdaration of dti~ahip. actuil Ipil nsid~~a and domidi~ in th~ StaN of HoNd~. Q~t h~n any p~tin~m fad:, wch as sii~ of propwty or bwi~, or nlinquisixn~+t of ~o~M at form~r doTidl~, ntrwvai of family b Mvir domidl~, pund~ of hore~, s~c.~ w • • . . • . . , . . - ~___A- - ' • y+~'~•0. . It v~~ . ; 7~ ~ . • . s ' . . ~ • ~a B~OK ; • ~ - ' ~ • _ g• 19 ~ . . 1964 APR 8 ~ ' tio;~~; n~• ~ ~ ~ RpGER p01 N~'~SF1~10~ - ~ . . ~ . - $t. L11CIE COU D , - _ ~J`~ ~ . : . ~ wR~lt c~tTtFlr that ~ wlu oomply ww~ ali athK hquinm~nts af a Ipal ~id~nt of this Stih. 1 FURTHER CERTIFY that I h~w no Int~ntion to ~Nwn b m~l Iorn~ domWio, and 1 ieM~d ~ nmaU? ln ?OICT PIERC'E, SAINT U1CIE COUNTY, fLORIDA, Psnr~sntll?• • . _ _ _ ~Gf.~~~.~; ~ ~1 s1= ~.~e~..,,.~~"~ ~ ~ ~ u~ ~ ~ ~ ~ G . s~w~o~rn to ana a,w.ww b~an. rn. thb d.,? of „ i~~ . l.~1~~ : i .,,.~r ~ _ . , . lORRA: ~ r ~ . . . • . C~CUIT r ~ ~ ~ . ~.r • _ . No~? Publk ~ • . ; ; ' : w . ~ , ~ ~ ' . ; ,~h? Cae~e~i+Won .o~pi~t . ~ , •v i • ~ ' R~ w~oa~,~i i~ ~ew a~i Mi~M~I ~~f«k CMa~M Gwt, will~ Taac A~1w~J ~ ~ ~ ~ ~ _ _ 85 311~ - - - - ~ - -