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HomeMy WebLinkAbout0030 .v. • ~ ~d; ? . ....w:.~..r~~.t.«~. f..-. . ~ ~ Dealaration ot Don~iQil~ a~d Citis~nshlp 13~0 ~ ~ TO THE STATE ANO COUNTY TAX IISSESSOR, ~ : ST. lUC1E Gt~l1N1TY, FLORIQA: ' . ' ' ' • ~ ~ ~ ~ : . Thls is m~? d~dantion of Domicil~ ar~d Citi~nthip 1~ th~ Stit~ of Florida that 1 am fllinp thb d~y t~ +~ooordana ~d in oonfor~nily with ChapN? 4~, S~ctbn 2ZZ.17, Horida Sfatufa. . _ ; - ~ 1 w~: Form~rly a Ipal ros~t of New York Cit~ ' N Y , ' ~ry) _ ~ati) . , . 8433 85th Drive ( woodhavea) s . • and 1 nsid~d ~t Novr~v+r 1 haw ch~np~d'ny domWl~ ; • ~StrNt ~nd NumbK) - ' ~ b N+d ~t aod haw been • bona fid~ ~W«nt of th~ St+t~ of Flortda dna 1Sth . i ~ ' September 64 . ~ , 19 , and ~ rosid. •r 611 Bracl~ Road r~ (ShMt u~d Nurr~~) , . - • . lORT ~IERq. SAM1T WCIE COUWTr, RORpA • ~ ! ane! tMs sfat~ma~t i~ to b~ tak~n u my dsdusfion of dNs~rtship, aetual !p~! ~~sid~no~ and domid{~ 1~ th~ Stat~ af Fbrid~. - pn~t h~n any pertinsnt fads, such a sal~ of pfopsny or bustnus, or,rsltnqul~n~nt of Mnploym~M ~ ~ ~ ~t formK domkil~, removal of family to etw domidk, purtfia~ of har~. ~c.) ~ ~ . ~ ~ gstablishing resideac~- applyiag for homestead , - ~ i3~a - . ~ ~ ~ a``~, ~ e' Dr~a . . ~ - RECOROED ~ - - . ~ 4'~oj~,~ 80 : • ~ • r . . . • , ~ ~ 1 ~Yl~ f r1 1 ~ . ~ s ~ l965 JAN -5 ~ 9' ~ s -a i ~ ~ s F ~ ~ - ROGEa POITRAS. ClERK . ;,ry ~ N~~• `,~,~r ~ i . - ~ : ti!•••~ ~ / • S~. LUCIE COUNTY, fIORIDA . -.,,y'o;.,,N,M',~~~~ ~ ~ ' \'~r`~~~~~1 y ~ ~ ~ ~ ~ 3 i ' • 7 i - - _ `i ~ ' ~.~Ct{rl ~y ~ R,~ ~ ~ a ~ f~i~f~ ~ ~ ~ ' • 7 2 ~ _ ~ $ 1 fURTHER CHtTifY fhat i h~ve no iMention to ~etum b my formN domidl~, and 1 intad to ran~In in FOfiT ~ ~ ~ ~ PIEltC~~SAINT'UlC1E,,COUNTY, FIORiDA, permansntty. ~ ; . , i ~ ~ : . r ~ t.t... • , ~ - . ~ ~ • : ' - ~ . , ' i : Mtrner J Moeller . k • ~ ' . ,t _ ..Q ` i f /G• , •~v ,r j , fl~ddnsa ; F ~~~~~i~~l~~~~~;..~`.~` i , Swan b ard ,~,b,eri!»d b.~ en~ ~hk Sth Januarr , tq~ i - ; : ~OOE! ~OITR/1s ~ i C~CIMT G011~T Not~ry Publk j 4.s.~s.~i - . ; . d~l D.C. My Comn~I~ ~cpira . ; ~ . ~ tYi i~ ~ail~~ M ir~lieah a~i ~eyiw~i !!Mi wilb Cl~ek CM~w~tt Gwt, a~i ~IieN~ rrii Taoc AM~,~ ; _ . S~~ 1G8 26 . . + . ~ _ . ~