HomeMy WebLinkAbout0156 M~4\~l••
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. • Declaration ot Domiclle and Citizenship ~
TO THE STATE AND COUNTY TAX ASSESSOR. ~ . 13232$
ST. tUL1E GOUNTY. FIORIDA: ' • ~ ±
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Thts is my dectsration of Oomiclls a~d Citisenship in the St~ta of Florlda th~t 1~m filin~ thit day in aooord~~a and ~
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in oonformiy with Chapte? Z22, Section 222.17, Flo~ida Statuter:. .
1 was forms~fy • le~ai ~esWent of S.B~ l~illcrest Heighta ,1~laryland . ' .
(~iy) ^ (Stat~)
2606 ColeBxooke Drive
,•~d 1 rosided at . Howtver 1 h~v~ chan~d my dankil~
(Street and Number)
b ~nd am ~nd h~w been a bons flds resident of the Stata of Flaida stno~ 18 day of
~ , Pebruiry ,~q 64~ snd t res~ds ai 115 Beach~ Avenue, River Park
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l~OkT MERCE, SAIN? tIJCiE COUNTY, RORtDA ~ .
~nd this :tatement is to ba taken as my decla~stion of citizenship, actual lega! rssldencs ~nd domkll~ in th~ Stat~ of florida.
pnsert here any pertinent fads, sudt a: sale of propeny or business, or ~eli~quishmsnt of emp{oym~nt
. at former dor~kils, ~emoval of family to new domicils, purchate of hon?e, ett.) ' •
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, - . EO RE~pROED
~a~~eeo~i. 90~K
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~ Bstablishing reaidence 1965 Jf~N '7 AM 3~ ~
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~ ~ . . . ROGER P011 KAS. CIE:RK -
~ . Sj, LOCIE COUN~1. f~ORIDA
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~ 1 FURTHER CERTIFY that 1 will oomply with all other requiramanh of a leqal rosida~t of this Stat~.
~ 1 FURTHER CERTtFY that I hevs no intention b refum to my formet domivls, ~nd I intend to rsnwin in FORT
WERCE, SAINT U1CIE COUNT1f, FIORIDA, permanent(y. -
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_ . Pred A. Lafrance
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- ~+~0~1 to and wbsaibsd bsfor~ me thi: T day of JQnuar~ 19 63 ~ .
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ROGER ~OITRAS
~ C1R IT COURT . Notary PuWk ?
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e'~? D.C. My Con~miuion sxpires ~
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(1'o b~ ax~arhd in duppe~ aed ai~in+l fil~d wI~l~ Ci~ek Grarh Cowf, ~nd d~plkM~ wilh T~oe AN~o~
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