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HomeMy WebLinkAbout0063 . ~ -...ri.,i•...:c.,..~,,,.,:. ~eal~~atioh ot Don~icils and CKisenship .~32~0 ~ TO THE STATE ANO C~OUNTY TAX ASSE:SSOR, ~ , ~ ST. lUC1E COUNTY. FLORIDJ?: , ~ f Thi: i: m~r d~duation ol~ Oomicil~ and Citl~shlp in ~th~ Stat~ of Florida that 1 am fili~q 1hi~ d~y in aooordaea and ~ ~ In conformity with GhaptK 4~~, S~ctbn 22~.17, Horida Stah?N:. . - - , • ~ Rosedale, Losg =sland New YosY 1 was formKly • lpal nsldint of . ~ (~b) lSta1~ ~ 235~28 148 Ro~td, ~ ~ and 1 nNd~d at . 1lowrv~ 1 haw dwnp~d ~'~Y danWl~ l'Str~st ~nd Numb~r) ' t ; b snd an snd haw bMn a bona fids r~sld~nt of tht Stati of florida Wno~ 1 day o~f ~ . ~ ' Juiy 64 ~ 2312 N. 44th Street y 1~ ~ if1~ ~ fAS~ tl t . lStnM and Nua~bv) lORT lIE~Cl.:AINT ltlCl! CONNIY, RORIDA " ~ . ~nd this st~t~rt~t is b be takM u iny dsclaratlon of dtt~nship, adwi Ip~l rKid~na a~d domidl~ In th~ StaN of Horkl~. ~ q~rt h~n am? pertinsnt fsch, such as ~le of propsrty or buslness, or relt~qui:hnwnt of ~loym~nt ' ~t form~r domktl~, nrnoval of family .ia ~ew domidl~, purd~a~ of hane, Nc ) - . . . 13~~'~'0 - ~ ~ a~ RECORDEp ; ~ ' ~ _ _ ~I~OK - ~9ss,tqt~ -s ~ 3: ~2 ~ : ~ Batsbliahing reside~ce - SRO UC,E COUNRAS, CLERX _ = 1'• FtOR10A ~ v~ . - ti G ~ • ~ ~ # 4~` t'~+rv~' . ~ ti a t • i : • ~ _ ~ : t . + ~ s i ' r ; i.r~'~`'+:~ ~ ~ ' ~ - . . E y~i ~~I.~'..~. ' ~ c,~ . . . z ~ ~ ~ • i~ 1 FURTHER C~tTIF1f th~t 1 wNl comply with alt ~ nq~rk~Ms of a Ip~l n~1dMM of thb SaM. . ' t= . r i w~Tr+Ea c~nFlr ~.r i h.w !a InNMJw~ b rotum to m~r Eorm~r domW{~, and I IM~nd ~ nmaln in FOICT PIERCE. SAINT WCIE COUNT'Y, FLORIDA, psrm~~sndy. - ~ ~....,.~K ~ ~ ~ ~ ~ - ~ ~ ~i• ~ . ~ _ . ,ti . , ~ ~ ~ - ~ ~ , ~~i - Charies S. Shapiro ~ ~ ~ _ . ~ . ~ ~ ~~~wN~' ~'St E r i ~o • - ~ s~?orn a.~d w~~.d ~.to~~ m. +hts s ~,y ~ January t9~ ~ ~ ~ 4 . • . i . ~ ~eoo~t rort~?: • ~ pERIC OOURT Nobry publk e!? , D.C. Mr ~.omn~i~fon ~xpin~ r . ' • ~ tTo b~ ~oo~s~d i~ d~Nsa1~ ~ai ~ei~~l Ai~l wNM Cl~lc C4aN C~t, aw~ ~NCaN wMr T~ A~w~.~ 0. p, ~ 1Qg 5~ - . . . _ ~ ~