HomeMy WebLinkAbout1870 ..iY.~...._.~:.:a• ~ • . =-~-'1
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Oecla~ation ot ~omi~ile and Citisenship ` `
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TO THE STATE ANO COUNTY TAX ASSESSOR, ,
ST, lUC1E COUNTY, FLORIDA: ' ~
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Thii i: my declaration of Oomicils and Citisen:hip in the Stats ot Flo?ida that 1 am filinq this day in soo~d~no~ and
in oo~formity with Chapter 222, Section 222.17, Haids Statutes.
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~ 1 was formerlr a leqal rosident of _~en 11 e _ : lgba~os
~ , . ~Ciy~ (Stat~)
~nd 1 rosided at Ronts ~3, Bo~c 287 . However I have chan~sd my domtdle
~ (Sneet and Number)
b~nd am and havs been a bona fids ~esident of the Stsro of F{orida sinas 2~ day of ~ ~
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1609 South 2$th Street ~ ~
. J11~y , 19~. and I roside at _ ~
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I~ORT M~CE, SAINT WClE GOUNIY, lLORIDA ~i~
, and this statemsnt is b bs take~ as my decla~atbn of citizenship, actusl tegal residenos and domidle in ths Sfats of Horida.
(Inse~t hers any ps~ti~er~t fact:, :uch a: sale of property o' business, or ~elinc~uishme~t of employmsnt =
at former domicile, ~emoval ot~family to new domicile, purchase of homs, etc.)
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P~cn~xi c~~ n~ sc~ooL ~N fl~ AND RECpRDf
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1964 ~x ~ : ;
ac,~ r ~ ~y ?o.
Sharroa Ceutr~en 14 y~ears ROGER p ~ ~S ~
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- 3T. ~~~~E 01TF~AS, CIERK
Charlotte Cautl~en 12 yeara _ COUNt r. F~ pRlO _ - -
Rcnald ~anthen 10 yeara
- 3heila Cauthen 7 yeare ' • O ~ . ` F
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1 FURTHER CERTIFY that 1 will aomply with `
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all other roquirements of a legal reside~t of thi: Stafe. ~ .
1 FURTHER CERTIFY that I hsve no intention to retum to my former don?k~le, a~d i intend to ~emsin in FORT
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PIERCE, SAINT LUCIE COUNTY, fIORIDA, permanently.
r (Nams) Jasette Cauthen
~ 1609 3. 28th 3t~reet, Ft. Pierce, Fla.
(/4ddres:)
~ Swor~ ro a~d wbsuibed before ms this llth dey ~ Angutst ~q ~~t `
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: CiERK CIRCUIT ' ; ;
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gy ~ ~ " , D.C.. ' = ~ ' My Gommluion expires ,
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' (Te b~ ~x~arNd iw dup~ieal~ aed ai~inal Ai~d witb Cl~Ic Ciraih Carr?; and d~11W1~ wi1J~. ax A~aKa
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