HomeMy WebLinkAbout0129 M F~-:'S~~ ~ ? 1"•\_.-• " I_ '
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Decta~ation ot Domlail• a~d Citls~nshlp ~ 13231
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~ TO THE STATE AND OOUNTY TAX I15SESSOR.
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t This i~ my deduatbn of Oomidle and Citl~uhip in th~ St~t~ of Floridi that 1 am filind thit day in ao~oo~dana and
, M aonformity with ChaptK 424, Satbn ~2Z.17, Horid~ 3tatut~. ~
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I w~s form~ly a Ip~i ~id~nt of - Ph~lipsburg ' ~ ~ New JeraeT
+ Ktb) (Stat~)
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• ~nd 1~id~d ~t Rt 2 FbvvwK 1 h~w cM~d nh? domWl~
(Str~st and Numbs~)
b~nd am a~d haw bs~n a bona fid~ ~id~nt of the Statr of Florida dna ~ 17th d~y of
~ ~pril ~q 64 ~ ~ u 450 RioMar Drive
. (Str~N and Numb~~)
lrORT NHCE, SAMIT tNCI! ~~UNTY~ lWRIDA .
~nd this pateR?eM it ro bs taken u my deduation of dNz~n:hip, ~ctual fepal raid~no~ ~nd domldi~ in th~ Sf~N oi Horid~.
pnsaf hi» any psrtinsnt fach, such as ale of property or butinau. w rolinquisi~r,~nt•of ~mployn~~t
at formsr domkils, rerrwv~al of family to nsw domidle, purchass of home, th.l
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j ' ~Establishing reaidenc~
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. 132314 ~ ~
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~ ROGER POITRAS, C1~RK ~~''-,,~oJ-.J~a~!?s.
ST. LUCIE COUNiT, f10RiDA ~ 1in~'~.~~`~ .
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1 RJRT~lER C~tTIF1/ that 1 w111 aompiy with all o~i~ reqult~rn~nb of • Ip~l t~{d~M of this St~l~.
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t 1 FURTHER CERTIfY th~t 1 h~w no iMenNon to roturn b my forrtiei domkJl~, and I.II?t~d to rern~in in FORT ,
PIERCE, SAINT LUCIE COUNTY, fIORIDA, permansnNy. ! , .
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Ployd ~ir Smith
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~ ~~~;;~G•-Sw~crn ta ~~ajb.d b.fa~ m. thU 7th ~y ~ ,T,gru~ *T_ . 19
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~~~i1M~ GOIlRT . No~ary Publk
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~Ti w~oawl~i i~ d~pliew «Ni"_~yM~l ~ wMM d~elc CM+wit t'~, a~l ~1eiN wNl~ ~aoc Ar~r~
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