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HomeMy WebLinkAbout0500 . . • ( ~.trir.:-i6II~r'v,-.'"- . ~ ~ 132554 : ~ Decla~atio~ ot Oomicile and Cltlsenship ~ T4 THE STATE ANO COUNTY TAX ASSESS~R, ~ ~ S1. LUCIE COUNTY, FtOItIDA: , . ~ ~ ~ i • This t: my decluation of Oomicile ,a~d Citis~nit?ip in ths Staro of Florid~ that 1 am Nlinq thli day i~ aaoord~ and i~ aonformity wtth Chspter ?2Z, Section ~22.17. Florkla Statutes. ~ 1 wai formerly a legal roside~t of ~YOm31'1R ' Aer 4nr~ - ~ ~ ~ . - Kib~ , tStata) ( ~ snd 1 nskled at Tower Road - ~r„~~ ~,y ~~N (Street and Numbsr) . w and ~m ~nd have baen a bo~a fids resident of the Stat~ of Flaida sinw ~ day aF ~ . ~ June ,~q~, ~ i~~ „ Rt Ao~.7~~1L.?a}ew~:d PY (StnN a~d Nwnbsr) l~ORT NQC~, SAINT ltlClE COUMY, RORIDA • ~ and this statsmsnt is to bs taken as my dxla~ation of citizsnship, actual le~l resideno~ and domkil~ in ths StaN of Hotid~. p~se?t here any partine~t facts, such ai ssle of property a bustness, or roftnqulshn~nt eE ~mplo~ym~M at former domidle, removal of family to nsw domicile, purcha~ of ~wrrie, ett.1 : Eetablishing reeic~ency . . ~ ; ~~,.1.~~~Tiii~7~:. :a : T „ • : ~ 132554 y O- ~ . ; G~'~ . 1. . _ ' . ` t ~ ~ - ~ ; : , _ . AND RECORDED , . . . : ~ - ~ ~OOK ~ . ; ; ~~~~~cQ •,`;~~'f ~ 1965 J~:t~ t 5. PM 2: t 9 ~ , - ROGER POtTRAS, C1ERK ~ ~ . ST. LUCIE CCIlNTY, FLORl~A . ( ' . w 1 FURTHER CHtTIFY that i will oomply wMh all o~ nquinm~n» of•a tpal of StaN. ! • . - ~ ~ 1 FURTHER CERTIFY that 1 have no i~tention to retum to my former damWte, and ! inisnd to rem~in in FORT ~ = PIERCE, SAMT LUCIE COUtVTIf, FLORIDA, permanenNy. ~ ~ - ..u:~~n~~., : . , ~ _ ~ ' ~ ~ f~ `J~=r,=• (Name1 ` = ~ ' - ~ ~ _ genneth F, Pohle ; f ~ ;1 ~ ' ;q • ~ ~ ` , ` . ~ ~ ~i - . tAddr.s.) - t . . s~ • ; , ~ ~ ; ~ ~ ~ ~ s ,f~~~l~~ . . ..G~ \ " ` • ~ ' f'~~5wdr~i ro~pd ~~wbsaibsd bsfore m. thts 15 th ~ Januerv . 19..6~... ' .,,e•NU+~ ~ . , ItOatR roRRAS ' ~ - . ` C~CUlT,~ Notary Publk i~sv ~ , ! , ew---~ o.c. My c~,i~+ } . 4~ , . ~ Q. b~ .ao.wl.a f~ d~iic.~..~a ..i~bu~ fil.a wilb a.~lt u.wM c.wt, .~i d~li~i: wi1M Taot w.......a - ; • ~o~~ 108 ~495 ~ . - ' Y:-'~ _ ' ! ' ~ . . ~ . : ~