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HomeMy WebLinkAbout0128 rtir ?•Y~ ~ 1 I ~M ~ - . , •t • ~•C . L WJ ` • ~ O~cla~atlon ot Domlail~ a~d Citise~ship ~ • - 132313 TO THE STATE AND~Z~IJNTY TAX ASSESSOR, ~ ; s~. wc~ couwnr. aoR~a?: ~ Thi ts d~ciK t ! s my • ion of Oomkil~ and qfi~nship i~ th~ St~t~ of Horkla that 1 am Niinp Ihii d~y tn aooordano~ and ~ 1~ coniormily with Ch~ptK 2ZZ, S~ction 4~~.17, florida Statuta. ~ was formKty a-Ip.~ nsidsnt of WashinQtoa ' D_C_ , (C~b) , lstaa) • aid 1~id~d ~t 320 ~h~rifla,~st reet N i~ . fbwwK i haw d~q~d my do~Mdls (StrNf aed NumbK) , b and an1 and haw bMn a ba+a fids r~d~nt of t~ StaN of florlda ~lnos 16th day af ~ ~1u'gust ~ 19 Sb ~ ~ ~ Causeway ~'railor ParY ~ . (Str~et and Numb~r) ~ ~ l~ORT MERCE, ~AMIT lllq! COUNTY, lLORIDA . aod this ttat~ma~t is b bs taken as my dsdantbn of dti~n~hip, actual Isqal :~sidsno~ ~~d domidb In th~ Stit~ of fiotid~. ; (l~uett hin any psrtir~t facn, wd~ a~ sals of propsrty or bu~insss, or rolinquishn~t'of unploym~nt . I at formsr domkile, removal of famlly b n~w domkile, purch~se of homs, Mca ~ Bat~bliahing residency . . . 132313 . ~ ~ ~ ,AN ECO DED ~ ~~p p ``",~.~Illffflf/~~'~' •R. - ! . . ~ FlOft~i BOOK o ~ .,4, . ~ . ~ - . . ~ - ~ ~ 'j' jl~•. : 1965 JaN -7 AM 10: I 9 ~ ~ l~~~~V "~.'•1 • •f r ~ • • " ~I~~~ . ~ j ~ - ROGER POITRAS. CIERK : ~ ST. LUCIE COUNTT, fIORIDA ~ ~d~u~'~~w ' ~ t - ~ _ - ~ j ~p,~ ~Hn~.: ,b`~ ~~N~• ~ .t~n7 ,•~y;'~ ' ~~~lN~n~~~~~~~~~ - ~ ~ 1 FURTHEIt G~tTIFY tlut 1 wlll comply with dl otMr rpuinm~nri ot a I~q~l n~~d~t of thb~ SqaN. ~ I FURTHER CERTtFY that 1 hsve ra imention b rotum b my former dorntdl~, a~d ! Int~nd 1o nmain in FORT _ PIERCE, SAINT LlJC1E COUNTY, FLORIDA, p~manenNy. - " ' ..~``~~RG V~~`'? . i ~ ~ ~ ~ ~ • ' 9~U'-t C~ ~ ' `y » ~ Z: % ~ . ~ ; i . ~/Joha -Heory 123er . • ~y; Z ~ ~ / - : : • . = . . ~ ~ Z.~?.~ # - , _ r~, ~ '~-,,~~~yr:• ~ • , - 1Kerle B willier C C . . . . . ~ J 7 ~ ~9.~. . 5w~o.n b and subsartb.d b.fon m.lhis Tth aouar . ~ ~O~iER ~OITRAf . ~ . ' ~T Notanl Pubtk . s.~..~.t~G~~R~qN~ ~ ~ C,, p.~, ~ C~ ~ . ~ R~ M~waNa M d~plk~N ~I iri~M~i AMiI wil~ CiNk Grs~N Cwr~ awii i~YaN wlll~ Tas Aw~~~ ; . ~ ga~~ ~08 ~~124y ~