HomeMy WebLinkAbout2476 „ - ~ii~S ~~~iw.~~i~:~i~~.~¦¦ i~~r~¦r.r.~.~~~..~~
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oecl~ratian ot Domlciie a~d Cil~enship 12g~g3 ~
TO THE STATE AND COUNTY TAx AS.SESSOR,
ST. WCIE COUNTY, FIORiDA:
This ts my declantia~ of ~omidle and Citiz~nship t~ tM Stat~ of FIorW~ that 1 am ftlirq thit day i~ aooord~nw s~?c~
ln aonfwmity with Chapter 2~2, Ssction 2~~.17, Florida Statuta.
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~ W,: ~~~y , ~,i~,t ~ Andere~n South Caroiins
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(~ItY) (Stat~) ~`i
20? Farmer ~ '
ar~d 1~td~d at Flow~vK 1 haw d~~psd my donnWi~ '
(Strast and Wumber) ~ !
ro a~d ~m and haw baen a bona fids rosid~nt of ~he Stats of Florida sina ~ day o~ I
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~ ~lY . iq and 1 roside ~t 2516 O~esehobes RMd i
(5tresf a~d Number) ~ .
fORT MERC~, S~iNT LlKIE COUNTY, ROR~A
a~d this statement i: to bs taken as my dedaiation of dti~snship, actual leqal r~id~nos and domidls in th~ Sta» of Horidr.
q~ssrt here any pertinent facts, :uch as sak of propery or businsss, or mlinquishawnt of amp~oymKtt
~ at former domkile, removal of family to new domkile, purd~ass of har~e, elc.)' . .
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~itering Cht~aren sn sahool 1N _ Q R~~'ORDEQ
: 19~y A~~ ~~~K .
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y • i FURTHER CER'TIFlf fhat 1 wilt ~r ~
~ alt other tec~uiremsnts af s legal msident of this Stat~. .
' 1 FURTHFR CERTIFY th+~t 1 have no intentia? to ~etum b my formsr dom{dis, and I Inta~d to ~in in fORT
~ PIERCE, SAINT LUCIE COUNTY, FtORtOA, permaneotly.
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,<<j~ 'taAa~'~nd wbsaibsd befon rt~ this d~Y ~ . 19~~
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ROGER rORRAS ~ '
~K Notuy P~ublk
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~ ~ ~ D.C. My GomnNuton ~xpi~
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R~ b~ .o~«w.d M dvpNs.l` .wr «ioiw~.i Al.d wllh qwlc Ci~a~lt Gwt, '.wllM.Ta+c A~~.a
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