HomeMy WebLinkAbout2839 1 . a~r'~ ~41....s ur.w NY.fil-a
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' ~eclaratio~ ot Domicii• and Cttlzenship ~
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; TO THE STATE ANQ GOUNTY TAX ASSESSpR, ~
~ ST, llK1E COUNTY, FLORIOA: ~ ' !
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Thls ls my declaration of Domicile and Citissnship in ths Stats of Floiida that 1 am fiUnq +his day i~ aooordano~ ai+d ;
in conformlly with Chapter 22~. Sectio~ 22~.17, Horida Statutes. " :
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f ~ I was formerly a leyal rosldent of - Di e~,cce G~1 . ~
' ~ Kity) (Stah) ~
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' ~nd 1 r~stded N_?~6~r Pee l~~n .a,~ ['.e~rt 1bw~wr 1 haw du ~
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b~d am s~d haw bs~n a bons fids rosld~nt of the Stsro of Florida :tnoe 2~th day of
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19_fi~ arid 1 msids at T
S and Numbe~)
, I40RT SAINT LUCIE COUNTY, RORIDA .
. ~nd this st~temsnt is ta ba taken as my declaratbn of dNza~ship, adualle~a! residsncs snd domidle in th~ Stah of Hortda.
pnse~t here a~ry pertins~t facK. such as sale of property or busineu, ar nllnqui~mN?t of anplo~yn?s~t ~
~ ~t former domidie, ramoval of family fo new danidle, purcfiaa of homs, etc.) '
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' tti111am.ThomAe is in the eer~rice and aNaiting orders
' He Mill be stationed in Ee~ weet ~~nd he is deeirioue o!
: plAOing his cbild in sohool nor. Thie ie hia permanant home.
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' Childe name Steven-in the 3rd grade EQ
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; . ~ ~ , ~ , ~ Sl. [UC,E CO~ TRaS, aERK
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s : . : ` - ~ ~ ~4 HT1'. f RIDA
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~'FURTHER CERTIFY lhat ! wlll oompiy with all o~ nqui~h of a
~ i k~aal risid~nt of thts, Stat~.
~ 1 FURTFiER CERTiFY thst t have no intentton to retum M
~ my formsr dornldls, ~nd i intanc! ta ?emain M FORT ,
k PtERCE, SAlNT LUCIE COUNTY, fLOR{DA, permanently. I
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~ • ° , ~ : < wi111am •Thomae
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~~n b~nd wbapribsd before ms fhis dey of Aentember
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RO~'iER 'OtTR11Y '
~ ~ . Notary Pubik .
; Q-t•Ifrt.~i i~c,~.~
j . D G. _ My C,ortMniuion expi~ -
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t~r. b..~x.aM.d i~ d~s~r~..~d .ei~ai f~sd wilie G..k arwh ~.w~, .~d
d~plkiM wNw tax A~~ra .
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