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HomeMy WebLinkAbout2017 +t... .:..ri~id..~ ,/t,~,::, -,~5:,~ ~ . 1~ D~cta~atio~ of DomicNe and Citlsenship . ~ . ' .L2~8210 , TO THE STATE ANQ QOUNTY TAX ASSESSOR, ~ • ST. WCIE COUNTY. ~ RORI~A: • ' ' Thts it my d~ctantion of Domidi~ and Citi~thip ie th~ Stab of Florida that 1 am fiUn~ thls day tn aoo~ordana ~nd !n oonformit~? wlth Chapter Z~, S~dion ~ZZ.17, Norida St~tutas. ' . w r < 1 was form~rly • Ip~l nsid~nt of ~ -~'K'~'a' • J tCity) tStah) ~~d 1 rosid~d ~t ~ Hovwvw 1 haw cna~q~d my domki~~ (ShMt a~d Nue+bw) - b a~d am a~d h~w bMn a bons fid~ naid~nt of 1fN Stab of Florida ~inoe - / day of ~ 19 and 1 rosid. a • • ~ . and Numbsrl I~ORT ME~C~, f~A1Nt ittC~ GOtNrTY. ~A , ~ - and thi::tate~r~a~t i:-to b~ tak~n as my dedaratio~ of dttr~?sf~ip, actval lpal ~~sidsnc~ and domidl~ in th~ State o~ Horida. . (fosert hsre a~y psrtin~nt fach, wde ai sal~ of property or budn~u, or rettnqut:l+m~nt of ~mpfoyn~snt ~ at font~ domidle, ~noval of famlty to Mw domidls, purofiaa ot homs, Nc.) ~ ~ ~ ~ ~ ~ ' . . G` ~ • • ~ ~ 'ZJ~ ~,/S/~7L~i 1w~L ~ . ~ . . _ _ _ w . _ _ . _ ~ _ . _ . . . ~ ~ ~ : I • R _ - - ~ . -~-~~.-_~~i'~.,~~~_ . 7 • r~ ~ t~ ij ~ p~ . ' ~ ~ F~EO ~HD RECI OED ~.E ~ ~ ~ ,~~~s:~~.t~ <<:~. ' 3~QOK ~,S~i~ y~~f~iS~~/ Si a . ' p~ - ,~t. ,~'1.•, w= . - ~6~~VV fll~G•"S7 , ~'~~~Y~~ ~p;~ : . - `'~r ; - f . , ~ _ ' ROG ER POITRAS. CIERK . i E. ~o ~ . ~ ~ ~ i ~ . ~ . sT. IUCIE 08N1Y FLORIDA ' . ~ 1 FURfliER CERTIFY th~t 1 wlll oompiy with alt athK ~~quire+nents of a te~ai ~Idartt of flti: StaM. ~ . 1 FURTHER CFRTIFY thet I have ra IMentbn b rNum to my forn~ cbmi~jie, aad 1 IMa~d to nmain in FORT PIERCE, SAINT LUCIE COUNTY, FLORtOA, psrmanenNy. • ~ ~ +tvli ' . ~~s~~. ~ ~ . - - , . i ~ ' ~ . ' ':~t ~ ~ ` • " ~,i~~;F','' . ~ 'i . . lt, C~- )'~F ~.SD/~~ . .:r?_ ; ~ ~ - . _ . , ~r~~ ^ ~:~i ' , - . l~''• : - - . ~ l~ E ~ / SMwrn b and wb~uib~d b~fpn mt thk day of 19____. , . ROG~ ~OITRAf . . - : - ~ - - Nahry Publk . • ; py Qt.ti~f~ O.C. . ~ ~ AA~? Carnnt:slon ~xpins ~ - 1 _ . : " R - . ~ . ~T. w.a~c.~w M a~..Mi «tolwr !~d ,~1N~ cl~elc CMa~if c.w~r, aMl d~..wtlb T.ac Aw.Me~a . r ~ , • • ' , _ _ , , . . ~ . _ _ s £ -