HomeMy WebLinkAbout1590 • ' • i
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Declaration ot Domicll~ and Citizenship #
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TO THE STATE AND COtJNTY TAX ASSESSOR, '
Sl. UJC1E COUNTY. FLORIW\: ~ _ - ~
This is ~rn? d~cluatbn of Oomidl~ ~nd Citi~nship i~ th~ St~t~ of Flo~ida th~t 1~m f111np thit day tn aooordana and
i~ aonfptn+ity with GhaptK ~2Z. S~ttbn 2Z~.17, Horida Statut~.
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1 w~s formsrly a I~gal ~idMt of =~i
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and 1~id~d ~t ~ S• ~i~ 1S j A N/9~ ~9 t~/C. - Noywvw 1 h~w d~arq~d nh/ dar+Wl~
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b~nd am and haw bs~+ a bona Nds nsid~f of 1h~ Stab of Florida sino~ 4•eerd day of
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J•,~+~: , 19~-. a~d 1 raid~ M and Numb~~1
; ~pRT ~I~CE, S~AINT U~CI! ~011NTY. lLORIDA
and this statar~snt is to be hken ~s my dedaration of dtianship, actual Ipal ~~sWa+o~ and don+idl~ tn tM Stat~ of Horid~.
. • pnsert h~n any perttnsM facts. wd~ as s~le of p~opsrt~r or business. or nltnquishn~t of ~mploym~nt
~ at formK domidl~, romoval of family to new domidlt, pwduss of horn~. Nc.)
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1. I~s~ns ns~sr ovned a l~ a~ peopsrt~ in Indiana. ~
~ I bs~s bsea~ pmcabsdn8 proPe~ +t~? at Foart St Laa~~ t~on~t t~s .~al
~ D~~s],,~ps~nt Corpora~i~oa eiace 1962. ' .
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~ F~ED AND RECO~pED ~ : «
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IN ~n~i Reoord go i :~y , •
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1964 APR -9 AM 9: 28 . t~ y~+
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- ~ ROGER POITRAS. CIERK ~
$T. IUCiE COUNTT, flORl A ~ .
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~ • 1 RJRTNER CER?IFY that 1 wili ro~i~ at my loul addross wh~n th~ rpfstratio~+ books ~eopen, and oomp~Y wNh-
~ ali o1hK nquire~rMnls of s le~al r~sideM of this Stat~
~ 1 FURTHER CERTIFY th~t I have no iMention to rotum to my forrr~at domidk, and I IM~nd b ~~in ie FORT
Y . PIERCE. SAINT WCIE COUMY. ftORIDA, permanendy. i
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