HomeMy WebLinkAbout2766 .E....~.y..,.,...,,.. . ~ . - _ ,
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' Declacation ot Damicile and Citl:e~shlp '~'~66$ ~
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~ TO THE ST/1TE ANO COUNTY TAX ASSESSOR.
' ST. ~LlJC1E COUNTY. FL4R~~A;
This is my detla~ation of Oomicile and Citlsenship i~ ths State of FIorW~ th~t 1 am filinq this day in ~ooordano~ and
tn oonformlty with Chapter 222, Saction 222.17, Fiorida Statutas.
1 was fqrmerly a 1a9a1 resldent of At'lriepo118 _„r, Md
(C11y) , (Stah)
, and 1 rostded at ~9~ ~t 11Te8L StZ`e9t Fi4wever I h~w cfia
, ~ed my domWle
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~o ~nd am and have been a bons fide rosident of the Stats of Florida sinos 14th ~~y ~
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, ]I~S!".~Ch , 19~~, and I rsside at BOx 6~
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I~OR~ lI~CE, SAIN? Ll~C1E COUNTY, RORtDA
and this statanant Is to bs taken ss my declaration of dtiunship, actvsl legal residenos and domidla in ths Stat~ of Horida.
qnsert hem a~y pertinsnt fscts, such as sale
of propern? or business, or relinqui=hment of emptvynru~t
st formef domidle, iemoval of family to new domidle, purchase of home, ett.) -
Ha.tering Lsymon Johnson in the 6th grade
~ . " De.rline in the 6th grade
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f ~ `~s~~~.-~~` :~.4 i~ ~n
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' i r:~~ ;f.~; ::K~ 1964 SE~' - t AM 9: ~ I
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~ , • ••''~o~'.f ROGER POtT~AS. Ct~R~f
; S T. 1. U CI E COU~~Tt, FlQRIDA
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. i FURTHER CERTtFY that 1 wili oomply with all oti~ roquiremenb of • leyal reside~t of thb Stat~.
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~ I fURTHER CERTIFY that ! have no intenfion to retum to my former domi~ile, snd I intend to ranain tn FORT
WERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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; ~T ~ Ma.~61e Johneon
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; • S~wom a`,~q~ wbsuibad befors m• ~l+~ let ~y ~ 8eptember i9 ~
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~ ROGHt ~OITRA:
CIR COURT . ~Ky p~k
s~s..~C.G Z'voti~s.Z~i
D.C. My ConutMssion ~xpires
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Ri 6s .~aaet.d ia drplka~. and ori~iwal f~.d wilh et..k p.arN c«~, ,u~d drppaM. wilb T,oc AMawa
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