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HomeMy WebLinkAbout0286 ~ Decla~atio~ ot ~omtail~ a~d CitOzenship - . 132~1.4 TO TkE STATE AND G~OUNTY TAX ASSESSOR, ~ ~ ST. LUCIE COUNTY, FlOR10A: ~i ~ ~ This i~ my d~dar~tion of Oomidl~ and Citise~ship i~ t1?~ Stat~ of Fiorids that I am flii~p thit d~y in acoordana and ~ i~ oonformlty with Chapfer 22~, Ssction 242.17, Florid~ Statuta. ' ~ . , 1 was formaly ~ ip~l resider~t of ~~?et Hampton ' Yae~• . ~ (City) t5t~h) - ' ~ h,~ _ 199 8orth Hampton St. ~ ~~K ~ ~w ~ , (Sttest and Numbsr) b~nd am and haw baen • bona fids ~eside~t of the Stet~ of fbrida uno~ 22IId ~ r . . ~avemhe~c i9~, ana i rostd. n 294 ~e~t wrbor Avs. Bivsic Park . (StrMt snd NumbKl . . 1'ORT M~CR, sA1NT LIlCIE CCltfl~iTY, RORiOA . ~nd thts statsrrwnt is to bs taken s: my dedaation of dNz~nship, adual leqai resid~no~ ~~d domidl~ in th~ Sht~ of Horida. _ pn~rt hers a~y pertl~t facti, wch as sals of proper~y or buttneu, or nllnqutshn+~nt of ~rnploym~nt - at former domicil~, removal of family to nsw domkile, purchase of home, Nc.) Applying ~or homeetead and eetabliehing reaideon3? ~ ; i ~ . 13~~ , ,,,.....~~.N„ ~ F~ED~ AND RECORDEO ~ . . ~ 800K . ~0~~~~'`~,, . ~ . 1965 JAN I ! P ~ ~ ~ ~ M 12: I 1 : , ~ , r . : : . . R06ER POITRAS, azRK : ~ : ~~y ~ as " ST. LUCIE COU~~T~, FLBRID~ ' °L•"~~J ~ ~3 = . ~ . . " s :~o~ 1~.,; ~ . ~ i V h~N~~ f, 1 ~ ~ . ~ ''~"''~~~,1; ; ; N~ ~ ~ . ; ~ ! ~ - i . , . ; 1 fURTHER CfRTIFY that 1 will oomply wNh ~il atF~ nqutnn~nh of a ipai r~kl~nt af thts Stat~. : . , . ~ ~ 1 RIRTHER CERTIFY that I hav~s no intentbn to ~etum M tny formsr domkjl~, ~nd 1 intend to rerrwin i~ FORT ~ ~ ~ PiERCE, SAtNT LUCIE COUNTIf, FLORIOA, psrmansnNy. ~ . t. .,.~~~T c . . , ' , Q,G . . O ' ~ ti~v~ G'F~ ~ ~ ' ~ ~j~~,%~'~ ,,~,R~ ; = ~r~. - - . ~ : . Joha L. Leeehoct ; , . ~ . ; - ~ . F : t..- . ~ . . ~ ~ ~n~ . . : f ` ~~~~~~C...GO :4~ • ; Yaulin esahoot s~w~om a.nd wbsaia.d b.for. ~n. thls llth ~y ~ J.anuary tq 65 . ' c ; ROOER I~OITRAf ! ~ : C~CtNT ~uy p~k ~ ~ : ~ a.~..~..G ~ O.C. My C,onwniulon ~xpit~s ' ~ j . . - ; R~ b~ ~x~Ni M drpNcM~ aiwl ~i~Mal fiMd wi11~ CM~Ic CMwiit Gw~, a~ ~IieN~ wiN~ Tiot•A~~~ • ~ ~~$2 ~ ~ ~ ~ ~