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. - -w~...».,.....~.-----• ~ w a•., • ' / ~ec~aratton ot Domictl• a~d Cltis~nship 13~1. . ~ . . TO THE STATE ANO COUNIY TAX ASSESSOR, , • ~ Sl. ltJC1E COUNTY. FLORIpA: Thb is my d~da~atlo~ of Oomkil~ ~nd GltitMShip in th~ StaN of Fiorid~ that 1 w+n filin~ thia d~y In aooord~a and . in oonformity with Chaptsr 2??, Ssctbn ~2?.17, . Norlda Statutp. ~ ~ 1 w~s formsrir a ~.Qa~ ~estde~?t of Mi~uni • P2orida Kity) . , ~~p) . ~ + Sl N~ W . 189th Street . ' ~ ~ dunp~d my doroWl~ (StreN and Numbs~) . . , ~ b a~d ~n? ~nd h~w bse~ a bona fid~ rosid«M of ths Stat~ ~ Fiorida u~a ~ d~y of ~ ' October. ~q 64 2423 Atlsoti Beach Blvd . ~fld 1 fAti~ af (5tr and Nun~t) i~ORf MERG~, tAqitT LtIC1E COYNTY, R~ORIOA a~d thit statarMnt ls to be taken,a: my dedaration of dHzenship, auual Ipal ~esid~nas and domidl~ in th~ StaN of Horid~. (Insert here any pertine~t fact:, such as sate of properry or btnlMSS, or nlinqulshrpMt o.f ~mployrr~n . . . . at tormer domidle, ranoval of family ro new domicile, ~wrchase of hotr», ~t~c.) ~ 1 ~ • ~ • . t Applying for homestead t ~ - , : ' 132'781 ~ . - . ~ - fILED ANO REC~ROED ~ . 800K ,,,,,..,..,,.,...,.r , 0 J . ~ . . ~ ' ' ~ ' . - . - 1965 JAN 26 ~ 9~ 55 - [ ~ `y?;w . ;N:. : - ~ :1 . • •.N« .i ROGER POIYRAS. aE~K • ' : . ~ = ; s ; 1. lUC1E COUNIT. FlOR10A r~: : ~ ~ ; ; ~ : , y • \ Y~o ' l. . ~ ~ ~ 1 i n~'a; ~ . ~ . ' ~~~t,~~u~a~.~•. 1 RJRTHER CERTIFY NNt I will aomply with all otl~ nqukwrwnh of ~ Ip~i rald~nt o~ fhN St~M, 1 FIJRTHER CERTIFY that 1 have no intention to retum to my fornn~r domWl~, and 1 i~tend t~ r~i~ tn FORT ; -PIHtCE, SHINT UKIE COUNTY, FLORIDA, permarantly. ; ' ?t - ~ ~ ~`a . • = • ~ " / i ' • t ' , ; ; ~ - ~T $ , I ~ . . . ~1o~~d ~ , r~: :v ..l', - - ~ ti l~``~ f'`p~~ f` ,N,~~) ~ . ` ~ . . t SWOf11 10 M~ i1lbiCfj~ ~Of~ fl'N 1~f ~fLiti. ~y Of J~I'1al~r~ . ' 19 ~14 RO~ER l~ORRAS ~ ~ ~ Notary Pubik - ; ~;D f a..~~~' D.C. My Canmtuion ~,cp~nt t E _ . , ; f F R~ b~ ~oawM~ 1~ ~NtM~ aMi wioMr AIw wNb CM~k ~M~wN Gwb a~i ~~riN~ Tiat Aw~w~~ i ~ • - e~~ 109 F~cc 327 ~ ' ,