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~ ~ DeclarAtion o! Domi~ils and Citisenship . 1~~53
R
i TO THE STATE ANG COUNTY TAX ASSfSSOR,
ST. tUCtE COUNTY. FlOR1~A: .
This is my declarstion of Oomicils and Citiz~nship in th~ Stan of Horid~ th~t 1 am filtnq thl~ day in ~ooo~daria and
in aonformity with Chapter 2Z4, Section 22Z.17, Horida Statuta. .
1Kontgomer~ Alabame~
- 1 was formerty • ipd rosident of
' (City) (Stah)
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~~d i~~d .r 763 Aiilmaa Avenus_ HovwvK 1 h~w chanqsd my domWl~
• (Stirest and Number)
to a~d ~m a~d haw be~n a bo~s fids ~t of the Stat~ of Ftorida W~a 3~ day af .
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- AttgLtet 196~ , and I roside at 1808 Arize s . _
~ (S?re~f ~nd Nurnb~sr)
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fORT N~C~. SAINT .LUCIE COUNTY, RORIDA •
• and this :tatement is to be taken as my ~dedaration of dtizMShip, actuai leqaf rosid~noi ~nd domidl~ In th~ Sta1e o# Horrids.
. pnsert here a~y pertinsnt facn, wch u iale of propsrty a bvainess, or rolinquf:hrrwnt of employment
~ at formK domkiie, mmovat of family b new domicite, purchas~ of hane, ftc.j ~~3
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; , fILEO AN RE~RDED
~ : IN 800K ~
~ ffi1Lering daughter in eahool - - . ~
t96~ AU6 2 i AH 9. 41 -
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- ~=*t ti ~ ~ , R06ER POITRAS. ClERK .
~ ST. LUCIE COUNIT f RIOA
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1 FURTHER CERTIFY that 1 will ~y -
~ all other roquiremenK ot a leqsl re~ident of thi: State. - =
; i RIRTHER CERTIFY th~t i havs no Intention to retum ro my former domitils, and I Intend to romain in FORT
~ PIERCE, SAINT LUCIE COUNTY, FLORIOA, psrrr~nsntty. .
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- ~ ~ ~ . ~re . Don D. Aerndon
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~~~vp~i~idtA,d wbsatbed befo~• rnt thi: ~et 6~
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ROG~ ~OITRAS • . . .
CI.ERK Ul~-COtIRT . Notsry Publk
~ ~ O.C. ~ My Gort~ni~sion ucpt~ ~
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R. .x.a~d M d~c~. .~d «~Mai fnia wMb a~k araAt cMM, .ud drpliu~. t.x A~~ -
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