HomeMy WebLinkAbout2432 ~.~.w~,.,?-...~.. . ~ii~~i . iiw~~i w~.~:i~~ii ¦~~.~.r~~r~~ r.~~.~.~..~~
-
. -~28446 ~
Decla~atlo~ ot Domlcile and Citlsenship
TO THE STATE~ ANO QOtJNTY TAX ASSESSOR, ' ~
ST. Lt1C1E COUNTY, FIORIDA:
This I: my declaratlon of Oomicil~ and Gitl~nship in th~ St~» of Florida that I am ftlinp thb day in aooordana a~c!
1~ oonformity with Chapter x42, Satbn 2~2.17, Horidi Sbtut~s.
1 w~s fotmerly • le~al rosident of B~ MeRO _ _-~41s~.
tCity) tStat~)
' and 1 r~ldsd at 1~2 Hor1'lbelrid Howwsr 1 haw dun~d my domidlr
' lStrsst and Numb~r)
, to ~~d am and have been a bona fide rosld~nt of the Staro of Florida +tinas 1Zt~ day of
k , • •
F Auguet ~ 64
~q , ~ n • 141~-C He~vannaAve.
~ (StreN and Numbsr)
, I~ORT rtERCE, SJ11NT LtICiE C4UNTY, HOR~A . '
a~d this statemsnt 1s to bs taken u my dedaration of dtiten~tp, actual lepal ~nidenos a~xi domidls in th~ Staro of FIaW~.
' pr~sert here any pe~tinsnt facK, :uch as ~te of property or busineu, or nrlinqui~ment of employmsM
~ at forn~ dankils, romoval of family to new domidle, purchass of hortw, eic.~
Eeteblishing residency ~
.~2$~~f7? -
~ j ~ . - . .
~ ~
; ~?i, Q4~
; ~p RE~RQED '
; r-~ i . ~ • ~
• ~ ~~1 ~ ~ • BOOK
i : . ~ ~ s - ~ tN -
r.
, ; ~ p!'111: {8
~ ~i+•:rt r~ ' ~ 1964 AUG 24 -
, . ~ ~ .
' ^ ~~iiE~~~°''.:~' ROGER POITRAS.CLERic
` ~ ~ ` ~ ' ~ St. LUCIE COUNIY. f IORIDA . .
~ ~
. ~
; . - .
~
~ ;
. . . , . . . - :
~ I FURTHER CER'TIFY thar 1 will y witfi
+ all otf~er requiremerits of a togsl reskient of thi= State.
~ ~
~ 1 FURTNER CERTIFY that 1 have no intantion to retum• to my formsr domidle, and 1 IMand to rerrNln in FORT
; MERQE, SAINT tUC1E COUIVTIf, FtORtDA, permanentty._ .
~ `y\1 ~~V ~n~ f
~ `~~.~,;~i ~•:';~~:~t . X ~t.t'i( . .
' ~ ~
~ _ . ~ Wsiisem~nurr~
; ' ~
~ { . 1•~ • : : ~ , i , ~ : ~ .
~ ~1.. : - ' ~l . '
~ - 1~......•`0.• ~
~ ~ ~ ' ; ~ ' • v (Addl'O~l~
~ CiE -
. _
Swor~ ~o .~d wbsaib~d b~tor~ mi thb 24th ~y ~ AuRUet 19_~.~
~ -
~
: ROGER ~OITRA:
~ Nat~ry Publk
. ~ .~....t..G ati .1,~.~ D.C. My Gonxr~is:ion ~xpt~ .
. . . ~
n. .~x~aM.a M a~pNs.~. .~a ..r~inal rN.a a..k cM~t c.wf, ana a~pli~. wi~ T.x w..::~a
,
~ •