HomeMy WebLinkAbout1974 +eNN . r 3'~ ~ . ..r
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Declaratlon ot Domicile and Cttizenship 1~8~~~
TO THE STATE AND COUNTY TAX ASSESSOR,
ST. lUC1E COUNTY, FIORIDA: ~
This i: my declantion of ~wnicils and Cttizenship i~ ths Stats of Florida that i am filin~ thi: day In aooordana a~d .t
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in oonformity with Chapte~ 222, Section 222.17, Florida Statutes.
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Indiat~et '
. 1 was formerly • leqal rosident of Au~ra -
' (~ity) (State)
Rura1 Route 2 Box 4~5
~nd i'resided at . Howevsr 1 hava changed my domWle
(St~eet and Numbe~) ~ . -
18~
b and am a~d hsve been a bona fide ~esident of ths Stats of Florida sinos day of
Aprii 64 2006 51st Court
~ , 19 , and I roside et
(Sheet and Numbsr?
I~ORT MERCE, SAINT WGE COUNTY, RORIOA
and this statement is to be taken as my declarafion of citiunship, actust legal ~esidenos and domicile in ths Stats of Horida.
pnsert here any peninent facts, such as sate of propery or business, or ~elinquishment of smployment
at former domicile, removal of family to new domicile, purchase of home, etc.) _ ~
12g17'8
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Phtering chiidren in school ~Q~K
1964 Al~G 13 PFI 2: 34
. ~ ROGER POtTRAS. CtERK -
ST. LUCIE COUNTY, FlORIOA
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1 FURTHER CERTIFY that f wlll ~P~Y Wi~
all other raquirements of a legai resident of this State.
1 fURTHER CERTIFY that I have no intention to return to my former domidle, snd 1 intend to remain in FORT
PIERCE, ?S411N~' LU~IE COUNTY, ~LORIDA, permanently.
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~ . v • , (Name)
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;s - ;•-~c ~ ' : Mrs . T~ialter E. Iiyaell . -
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~ ~:V ~ ~ E t (Addrest)
• Swom to and subsaibsd bsfore ms thi: day of ~ 19_~
~ ROGER rOiTRAS .
IT COURT Notary Publk
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; 6y ~''T~. D.C. My Commissbn expires
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~ ~ (To b~ uc«w~d 1n duplicat~ and ori~inal flt~d with ~IKic qrwit Coue1, and dupliea» wi~k Tuc A~a~,?
€ i E~QjI i~U P~GE
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