HomeMy WebLinkAbout2436 w.rY'.A'\~ ~'~~r' ~ .
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De~laratio~ ot Domicite and Citlsenship ~
TO THE STATE AND COUNTY TAX ASSE.SSOR.
' ST. LUCtE COUNTY, FlOR1~/1: _ '
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Thb is my dscluation of bomidie and ptiunship in th~ Stat~ of Florida that I am filinq this day i~ aooordana~ srxf
• i~ aonformlty with Chapter 222. S~ction ~22.17, Fbrida Shtuhs. ~
1 wa: formxly a Ipai rosid~nt of BY`18t01 ~ P ~
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,nd ~ rosided •t 702 8eoond Avs. - How.wr ~ haw d~anqsd m~r domWl.
: (Stre~t ar?d Numb~r)
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b s~d am and have besn a bona fids ~id~nt of th~ State o# Norida sino~ 17th day of
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~ ; ' Av~ueL , iq~ and ~ roside at Rt 3 Bo~c 6~ D
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~ l~ORT MERC~, SAINT LUCIE COUNTY, RORIDA
! a~d thjs atatement it ro be taken as my deda~~tion of dtisonship, attual lepai r~sidenos ~nd don?id~s tn fhs Sht~ of Horid~.
~ ~ pnse~t hen any pertinenf fadi, wch as sals of propsrq or buiiness, or ~elinqui~msnt of empioymsnt
at forn~ domidls, romoval of family ta new domkite, pu~ch~ss of home, etc.)
- ~tering. Leon Thomae Suplee in Lhe 2nd grads
; . . 128450
~ ~ ~ ~ A RECORDED -
; . . ~~~COZd- 800K
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: 196b AUG 2
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~ ~ ~ ~~~i"~ ~ ROGER POITRAS. t~ERK .
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~ : ~ ST. lUC1E COUNtY. .
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~ i FURTHf.R CERTIFY that 1 will ~Y w~ ,
E all othsr roqut~ements of a IeQal rosWsM of thi: State. ~
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~ I FURTHER CERTIFY that 1 have no intention to rotum to my former domkile, and 1 tnfend to remain in FORT ;
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~ PIERCE, SAINT LUCIE COUWTY, RORIDA, permansntly. •
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G. My CARrtn+isiion expins - .
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