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HomeMy WebLinkAbout0720 . , ~ ~ D~cla~atlon ot Do~iQil~ and Citis~nshlp ~ TO THE STATE ANO COUNTY TAX ASSESSOR, ~ s~. u,ae cour,nr. ~toRic~?: 12'?'480 ~ . : - Thii ii my d~ciuation of Domicit~ a~d qti~n~hip in th. Sa•a of Hortda ~hat 1 an Alinp tht~ d~y In iooordanq and i~ conformity with ChaptK 4Z2, S~ttio~ 222.17, Horida Statvla. ~ • . 1 w~s formKly a Ipal ~idu?t of ~Y'S~II~1~14 ~ Ji1'~~~` ~ - (~b) iStat~) ~ ~~d 1 rosided ~t 10, ,7sait~ Horr~var 1 h~w d~anp~d mY domWl~ . . - ~ (Straf and Nun~) ~ ~o and am a~d haw b~sn a bona fld~ ratd~M of th~ Sta».of Fbrida ~no~ ~S day af ~ ~ ~ ~ ~9 6~ +~nd ~?.~~d. a 401 Bioa~?r Dri~~ ; . ~ (Stn~t ind Numb~?) . ' ~ORT ME~, f~AWT ltlCli GOUNTY, RORIDA ~ . ~ arxl thi: ststement i= to be taken as my dodantion ot dN~n:hIR, attual ipai ?~idena and domidl~ in th~ Stat~ of Horida. pnsert hero any pertlnsnt fads, :uch s~ sal~ of .propsrry or buain~ss. or relinquishrn~?t of ~mplo~n~sr~ st former domicile, rwrioval of family to n~w domWle, purd~ase of har~, ~ic.) } ~ :127'48Q ; $ ast8biieh~ sy~idu~o~ - ~ 8~~~~~ , _r ~ 800K - 1964 .~A., i 6 AM t I: 3 I ~ ~ : ?t v .t - . ~f ~ ~ ~ ROGER P011'RaS, CIERK ; , s`~~~' ~f ? st. tucrE cou~Tr. F~oRro . . ~ . . . r. • . ~rteN, ,r . . , ~ rr~~`~• ~ - ' • . ~ t~'.~ t •w -c-a , •r ~ ? ~'1~ , ~ ~ . - . ~S ~ ~ _ ~ ' . ' . . ' ~ ;a' . . . ' . ~ ' ' " ~ ~ . ~ I fURTHf.R CERTiFY thal t WiU With ~ ~II ofhK roquiremenb of • lepal rosid~M of thi= State. , . , . i ' • 1 FURTHER t~RTiFY tfat t I~ve n~ iMention b rotum to my forrt~ domiQll~, ~nd 1 lnte~d to nn~l~.ln FORT. PIERCE. `~~U1GLE COUNTY, FLORIDA. permansnNy. _ . . : ~~l~,I . ``~~+i~ ~ c`' r , A f~~`:_~.•~±,~a I` ~ ~ L ~ • , ~J ~ . . , ~ ~°"s . ~ t ~ ~ y ' V . T.~.., . ~ , t ~Z~ ~1 i/Y~~ • • '~t~~w~~~ `Q ~i '~l ~ ! E • Ndd~ •1 " ~ s~ a.na ~«~.a m. ~ d~y o~ ' Jnl~ ° 19...6~» . ~ Roa~ rorra?s ~ ~ oou~r ~ ~,,ry ~ i Sfl 0~. ' My Coirr~ni~tton ~ins !Ti IN ~wewwi M d~NsaN aMt Mi~Mal ~t wilU CM~k Ci~+~rif C~w~, aNd ~iioM whM Tiqc AN~wr~ ~ ~ ~11~