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- ..>.r r~.--.. . - - . . . ~ - - . . - . . _ . " ' " . - ' , ~ ^ - . ~ ~ ~ ~ ~ / . ~ . _ ~s . ~ . ~t~~~.~.4 ~ ~ D~aluation ot Domiail~ and Citisenship TO THf STATE ANO G'OtJNTY TAX ASSE~SOR. ~ n. ~uc~ cou~mr. aortia?= . . ` This is my d~ciaraNon of Oomidl~ a~d C~ti~r+ship i~ th~ Staa of Florida ~hat 1 an+ filinq thU day in aooord~nos and in conformity wiM Ch~ptK ~Z4. Sectbn 44~.17, Horida Statul~t. • 1 was fonnaly a Ipai nsid~nt of ~-~tLt.Ct~,1,~{ , p _T_ • • ~ty~ (5ta») . 3~z ~ . a~d t rosid~d at Fbwrw?1 haw cha~psc! my domidle ~ (Str~et and Numbu) ' ~ ~ ~ a and am and haw b~+ a bona fld~ ~id~nt of 11k Stat~ of Florida dna ~Y i . ~~~j~~ ~ _ 195E=, and I r~sid~ at ry~"'v - V ~Slte~f ad Numbsrl l~ORT MERCl. SAINT LAICIE GOtMrTY. fIORIDA ~ and this sbtsm~nt is ~to b~ tak~n as my deda~ation of dti~nship, aetuai ipal ~id~na a~d do~nidle in ths Stat~ of Florida. } pn~t hu~ a~r pKtin~M facK, wch as sal~ of p~opsNy or bwin~u. or reqnqui:Mrwnt of employmeM . at forma domidle, nnwval of family to new domkile, pu~thass of har~. ~t~t.) ~ ~ ~ • ~ i ~ ' ~ ~ ~ i 4 t . •.y~ s • ~ . - ~ ~ ~ % , ~ ~ ~ti ~ . f _ ~ ~ J ; 1~;5314 _ ~ ~ : ~ . ~ . . . • . ;r : ~ ~ ~ FllEO ANO RECOROED ~ ~ . ~ j ` r:;t: , ~ • • f ~ _ 'Y ~ ~ 900K J ~ • ~ ~ ~ ~ '•~!f ~S.-• : ~ ~9~a ~P~ 27 a~ 4s ' ~ ! . ~ ~ ~ ; . . ROGER POITRA F.`~~A ~ : Sj. lUC1E COUNtY. , I ~ - ~ ; . . . . . ' 1 RJRTH~4 CERTIFY that 1 vrcill p!Y with i. ~ ali athsr roquitemsnts of s tpal roside~t of tfiis State. - 1 FURTHER CERTIFY fhat 1 have no intenfion ro rsrum ro n~y formsr don+Wl•, and I intend to remain in FOR7 ~ PtERCE, SAINT U1CIE COUNTY, FLORIDA, permanently. ` x ~ . - . ~ ~ . a// ~ 1 Y?. / ?tIC• _ ~ V?~ld~s) E ~j ~ ~ ~ .SAIIPOffl b a~ i11blCf~~d ~Ofr f1N 1~1~f ~G r~1/ pf + 19 • f , n~~~ry~ . • , t ~ r~ ~ . - ~ ~V! • ~ ~ ~ ~ ~~f V , \~r~ . F ~ r :1,, ~ ' ~ ; ~ Nofary PuWk ~ z~ . . . ~ ~y D.C. . y N~r v sxpins ~ . . " ' Q ' [ 87 ~~5 E . • • . ~ ~ lfQL ¦ . ~ ~ a. b..~o.a~.a M d,~. .~a .~i~lnal f~ a.~k c.w+, .aa a~k.1. «rHh T.x A.»ssora ~ ~ -