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Decla~ation ot Domlclle a~d Cltlzenshlp ~ .
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TO THE STATE AND COUNTY TAX ASSESSOR, ~
, ST. lt1~lE COUNTY. FIORIDA: ,
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' This is my dadaration of Domicile and Citisenship in the Stats of Ftorid~ that 1 am tilinq this d~y In ~aoord~nos and =
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= In oonformity with Chapter 222, Section 2Z2.17, Florida Statut~. ~ i
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~ 1 was formsrly a leqsl resldent of ~ Illinoi.s '
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(City) (Stet~) ,
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. '•nd 1 rsslded at _1030 S. Morgan tlowev.r I hav chan~sd my domWle
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b~nd am and haw baen a bona fide resident of the State of florida ttnos Sth day of ~
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January , 19~_, and 1 resids at $ailfish Betates
(Street and Number)
l~ORT NERCE. SAtNT LtKIE COUNTY, FtOR10A • E
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and this statem~nt is to be taken as my declaration ot cltizenship, actuaf la~l r~idenos and domidls in th~ StaN of Fbrld~.
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p~ert here any ps~tinent facK, such as sale of praperty or bu:i~sss, or relinquishrqent'of err?ployma~t ~
~ at former domicile, removat of famity to new domicile, purchase of horns, etc.)
Por ~ntering Child in School . - 13,~36i ~
Joyce Ann we~icer 9 yrs, o1d ~D RECORDED
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. . 1965 JAN -8 AM I I: 42
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I _ ROGER POtTRAS. CLERK
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' ST. 1UClE CQUNTY. fLQRtOA
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1 fURTHER G'ERTIFY fhN ~ WI~~ OOnlph/ Wlttl a~~ OtFNr fOQYlfem~nb Of • lpal fOild~nt Of thli Ststl. .
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1 FURTHER CERTIFY that 1 have no intention to retum to my formsr domtdls, a~d 1 intend to rematn .in FORT
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PIERCE, SAINT U1CIE COUNTY, fLORIDA, psrmanently.
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F~ Visg~ni~ Welker
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~ Saitfish Bstates ~ 25th St.
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y~ ~ Vtiddr~ss) ~t. Pier~e, Fia.
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~ ~ r~~ ~ ~ ~ ~tA~aj~d wbscribsd before ms thi: ' 8th ~ ~ jaDUat9 , 19,~» . . ~
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;1 ?J,~~ CLE~1C tIRCUR COURT Notary Publk . -
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