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HomeMy WebLinkAbout0857 i ~ ~ecla~ation ot Oomicll• aad Citizenshlp 13~¢,~ ~ " TO TME STATE AND COUNTY TAX ASSESSOR. . S1. LlJC1E COlJP1TY. fLORiOA: . This is my dedaration of Oomkil~ ~nd Citirnihtp in th~ Stat~ of Horida 1h~t~l am fili~p 1hh day M aooord~no~ and tn oonformily with ChaptK ZZZ, Ssction 22~.17, Norida St~tut~s. ~ 1 ~ t w•s torm.r~y . ~p.1 roswent of Newark ' NeM ~j~rse~____ (City) ls~•h) ~ 25 M~or ~Drive ~ ~ _ a~d 1 r~1d~d at 1 h~w durq~d my domtdt~ ; ~ (Str~st a~d Numbe~) ~ . , b~nd am ~nd haw b~sn a bona fid~ rosids~t of ths St~f~ of florida ~it~os sth day of ~ ~ November 19 64 n 191 Princesa D Port t Lu . lShMt ~ N ) . 1rORT M~CE, SAMIT lUClE ~OUN?Y, RORIDA • and this stat~ment i: fo bs take~ as my dedaratan of dN~snship, actuai le~l ~aidena domidl~ in th~ Stat~ of Horidi. pn~t here any partinent fsds, s~ch a ssk of propsrly or businsis, or nli ~nt bf ~nploym~M at fcrme~ damkils, removal of fsmity to new domkile, pu~chase of ha~ne, ~1c.) ~ . 1 ~ + ~ - + Bstablishing residency ~ ~ ~ . 132'742 ~ Fq,Ep AHO RECORD~~K ~ . - ~ ~ ~ . 8 ~ •,,~,~,,,o~.,. J,,,,,,,,;. , 22 P1~ 3, 4 _ ~ f ~ " 1965 J~ ' ~ . ; • ; ,r• s ~ER ppiTR~?S• ~A ~ . ~ ~ ~ • : ~ : : St~~UC1E CQUN~'I. EL • ~ ~ ~ w r . ; ,oi 1. : , • . • , ~ ~ a ;Q. ~ - - ~ ~ , j ~7 ~ ~ ~'''~u~~i~n~~~ 1 ' % ~ . - ~ ~ FURTI#R CHtTiFY Mwt 1 will aomply wfth al! othK nqui?~nnrnfs oi a ipal n~id~~t af thq~ Shh. - . 1 RJRTIiER CERTIfY th~t 1 have ~o imsntion to ~etum so my formK domkli~. ~nd 1 Mt~nd to nrr~ain i~ fOiCT _ PlERC~ SAlIVT UICIE COUNTY, FLORIDA, permens~tly. ~ ``,~~~~n111qq~' . . ~U ? s c - y t~ ~t-~ . . .Q- o --~-r 4,: `~~v' ~ ~ `,''~!9 . lName) j; . : ~ ~ IMlable Lemkit . ,-r . . , , _ , l~i~ S~+ v ~ A• i ; ~ y G • ~ ^ ~ ~ N ~ . M' ~ : • ~ V~+~~I ~i ~ : , • ~ ' . - • ' i : v ` f ~ ~t. 4 : ,,,~~~~,r• c~ • . '~.t~wqt~t,a` suea~tb~d nw t~ 22 ~,y ~ Jaaaur i9~ . aoou ranr?s . CIRqNT C011Rt Notary Pubik ~ • ; b~l °''''~'~'C'' ~ O.C. Comn~itdon ' . . MY ~(a - ~ ,i . ~ . 1- ~ ' R~ M ~oaaA~/ M dNpc~N awi M(oMa11~i_.wAill.~ CINk CM~a~lt C~tti a~i ~NoM~ wMl~ Taac A~~~ ~~~x 109 ~253 - - . , = . ~ _