HomeMy WebLinkAbout0576 ~..~~y~WYI~r . . ~ .r r ~ ~ ~ 1 ~ '
Declaration ot Do~nicite a~d Citi:e~ship p
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TO THE STATE /1N~ COUNTY TAX ASSESSOR. - .i 3259~
S'~. lUC1E COUNTY. fIORICA:
Th1Y is m~r decluatbn of Domicilt a~d Cjtibnship in th~ Su~~ of Florida that i am filinq tfiis day in ac~co~danc~ and
in oo~formily with Ch~pter 222. Section 222.17, Haid~ Statutrs.
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Kent ' Ohio '
1 w~s fotmerly a leqal ~etider?t of
(Gty) (Stats)
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at 4283 Beal Drive ~~w ~ n,y ~,,;dN
(5t»st and Numb~~)
b and am and haw b~eri a bo~a fids ~ld~m of ths Stat~ of Ftorida tl~a 15th
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J anuary , ~q 65 „ 1090 Airt~rt Rnad
(StreN and NwnbK)
fORT M~. SAINT LIJCIE C4tN~lTY, RORIOA - .
and thls staternsnt i: b be taksn as my deda~ation of citi~snship, adual Ipa{ ~esider~ca ~nd don?idl~ in tM Statr of Horida.
pn~rt here ~~y pertinent facn, such as ssle of property or business, or relinquisl~r~er~t of ~mploymint
at forn?~ domidls, removal of family b new domicile, pu~chase of homs, e1c.)
hntering Neil Scott in the Sth grade
" ~.esicy Scott io the 8th grade ~
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Fl q~p RECORDED . : a' ~
- - aal R -
BOOK .
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~ 1965 J~lf~ I 8 1, r:. _ r
PM 1:32 : ;o . ~ .
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~ ROGER POtTRAS CIERX ~ '~?`J`'~j • ~ !
s O N~~Sr'
ST. lOC1E C011w1Y. F10RIDA ' 1 ~
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1 FURTHER Ct~tTiFY tfiat I will oomply witfi all oth~r roquinm~nts af a Ipat nald~nt of th4 Sht~.
1 FUttTHER CERTIFY that I have no lmsntio~ tc rotum to my forrn~ ciomidle, and 1 intend ro rem~in in FOi~T
PIERCE. SAINT LUCIE COUNTY, FLORIDA, permanently. .
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.i 30`~ JN ;G ~'''-I Mrs. .T. M. Bennett :
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~GC a,~iid wb~crib.d b.fon m. tha 18th ~y ~ Jan ua rT ~ t 9~~
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RO~iER rOtTR/1f ~
Cl~RK C~RC#NT COU~T Notsry Pubik
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J t a /~e.~r.~ C~1~ O.C. Mr Gomnds~ion ~cpihs
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R~ b~ ~oo«+~ iw irplical~ au~l ~ioi~ai fl{~ will~ t~k Cr~~il C~. ar ~Ye~N ~rilh Tao~ AM~.?
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