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HomeMy WebLinkAbout1999 , . ~..;.:.lr~ . ~ ~ . Deciaration ot Domiaile a~d Citisenship ' ~ , . TO THE STATE AND COUNTY TAX /1SSFSSOR, ~~9~ ~ ' , ST. ltJCiE COUNTY, FIORIDI?; ~ This i~ my d~d~~ation of Domkil~ a~d Clti~nship in th~ St~t~ of Floridi that 1 an~ fili~p this day in aooo~dsna and in aonformi~y with Chapter 42Z, S~bn 222.17. Florids Statut~. . ' _ _ ~1 . f t~= ' 1 was formKly a fpal rosid~nt of - . . • l'Cth) (Sf~tr) ~ u+d 1 rosid~d at J it -7 ~e ~ ' li.-y~ 1 haw cfia~d n+y domW~~ " ~ (SNaN and Nuar~b~a) , b~nd am and h~w be~n a bona fida ~ida~t of tM Stat~ of Horida sinw' ~ ' ~+Y ~ ~ . ~ ~ ~ ~ ~ - ~9~.~ i ~w. ~ 1~0~ ' . (StrNt a~d NumbK) ~ ' ~ ~ I fOICT MEItCl, trT LIKIE COtl~Y, RORlDA , ~ snd thi: :t~temsnt is to b~ taken as my deduatio~ of dNzMShtp, adual iepal raider~o~ ~nd domidl~ in th~ Statt vf Horida. ' (InsKt hsn any psrtinsnt facK. wch as s~l~ of property or_ bu:inas, or nllnqerhhm~nt of employm~m - at forn~ domkil~, removsl of family to ~sw domkile, purd~a~ of horne. Nc.) . R . . . - - , . - - _ _ ~i9~ - - , , _ ~ . - - - Fl~tEO AMD RE Rp~ . . , Q - ~ . OJ'~ ~ _ _ : _ 1964 AUG 14 AM tl: pg , . , R4GER POITRAS. aqtK _ St. LUCIE CQUNTI', flORl . . . . . 7 . . . . . . , . ~ . - - - • _ j i~;= t1~ ~ ~ " , . . . . _ ~ . ~ - ~ ~ .~1.~~ T. . ' • _ ~~/s~~•`e+,~. ~ ~ ~ - , . ~ f~. s 1'~~ +s~¢~ ~r r - . ~ ~ • . . . . . . . i:=f . , . _ _ . ~ ~~~r ~ `?R_ _ ~ir ~ N ' _ ' - i . . . ~,/J~'~ u" ~ w i i~ ' ~j • - . . . ~ ~ 1 ~ f • , f . ~ . ~rRf~s . 1 FURTHER CERTIFY that I will ~ ~II otfier roqukernsnts of s le~al ~ideM of ti~is Stat~. . . • . 1 FURTHER CERTtFY thst 1 hive n~ 1Mention t~o nturn:td my iormK don?Wls, and 1 1nt~snd to-rornsM in fORT . ; PIERCE, SAiWT WCfE COUNTY, fIORIDA, psrmanenNy. , E f. ~`'+~7 !.`'V~~' ~ - e. ~ ' : l, ;(S, , . i' _ j.3iT~e~ ~ _ . . . . . . - _ - . ~ ti a`~3 ~ ~ ' - ~ ~ ~ . ~ +e wi - ~ _ _ . . . ~ti~:;~ ~~k.;~!~ . :-.'t~ ' - . . - ` . j•! • i ` q MJ,'-t?i :z , i : t t . • ~ ~ ~i • . , ~ .ri«. . ~V . . ' V~~~ ~ 'ft~4~~E~~~4 ~ • " ~ 1 . Sw~n b~nd wbscribsd b~on m~ thb day af I 19 ~ ~ . ~ - . . c . ~ ~ ~ ROG~ rOITRAS . . ~ - k ~ CtERK CONRT Notary Pubik ~ k ~ ~ E. ~ • ~ . ~ ~ ~ . b ~ e~,. o.c. - Nh? co~~on _ . _ . ' : ; .R ~ ~ PAr.~~~'~ _ . ! ~ .t ~ ~ . ' ~8U - - - - f ~T. b~ .oo.~+et.sl i~ ~pa~a~..~d .ei~M.l f~d wNl~ t~c ci~aN c~ s.a d~aea+. wMM i A.......a , i ~ ~ . ~ _ - - - ~ •