HomeMy WebLinkAbout2823 o.,. ~ . _ . . . :.~i`~' i: rww~:~i~~~ii.~~i: . ~i~ ' i..~ - - - -
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Decla~~ation ot Domfcile apd Cittzenship ~
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128`70'7
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TO THE STATE MIO COUNTY TAX ASSESSOR. - I
~ ST. LUCIE COUNTY, FlOR1DA: I
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Thts ls my deslaration of Domfcile and Citizen:hip in ths State of Florida that 1 am filinq thls day In aooordana and ~
in aonformity with Chapter 22Z, Ssction 222.17. Floride Statvtes. ' i
1 w~s forms?ly a leyal rostde~t of Pen~dletat~ South Ce~`o11t~ ,
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~ 417 Se~st Bluei•idge SLreet - • ~
and I~idsd st Hows+rvr 1 havs d~srped my domkll~
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b~nd am anc! hava be~n a bona fids rosident of the State of Florida :inos day of ~
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~ ' April 64 ~ 255 B.FdMards Road I
_ , 19 , ~nd 1 reside at
(Strest a~d Numbe?)
l~ORT ME~, SAINT IUCtE COUNTY, RORIDA
. and this ststemsnt is to bs taken as my dedaratbn ot dtizanship, actual lega! residenos and domidl~ in the Stab of HoNda.
, ~ qn:srt here a~y pe?tinent facts, :uch as ~le of pooperty a business, or relir.aui~mant of ennplaymsnt
' ~ st formsr domidls, removal of family to new domidle, purchase of tarne, etc.) .
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; $~ter~ng son in let ara8s ~ f11E0 AND RECO~ROED ~ .
; ~~BOOK
1964 SEP - I PM 3: 34
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• ROGER POtTRAS. CtERK
; ST. LtlCfE COUNTY. fIORIQA
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; ! FURTHER CERTIFY tliat 1 wtll comply with all o~ ~ulrerr~nts of a Ipal rostdent of tfib Stata I.
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i fURTHER GERTIFY that t have no intentbn to retum to my faKmer domidle, and !(ntsnd 1o remaln in fOR1'
PIERCE, SAINT LUCIE COUfVTY, FLORIDA, permanently.
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~ 't September 6h
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~ Sw~orii to and wbsaibsd before ms this day of 19_.~
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. ROa~R rO1fR/1~
s Notary Pubtk
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+ ~ ' 0 C. My Commtu . ~pitis •
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