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Home My WebLink About1054 • t ' . • ' - . ~ ~r,+.+~r+,w ~ Decla~ation ot Dontiall~ and Citis~nship y r ~ ; TO THE STATE AND COUNTY TAX ASSESSOR. ~ 1328~3 ~ ' Sl. tUCiE tOUNTY, fIORIDA: i This ls my detlaratlon of Domidle and Citiz~nthip in th~ Stat~ of florida that 1~m filinq thls day in aooordano~ and ~ ~ i~ aonform(~y with Chaptar 2Z2, Section 22~.17. Fforid~ St~tutes. , ( ~ ' 1 w~s formsrly a Is~al resident of Pslls Church ' • _ Virgiaia ~ i . (Chy) . (Sf.ro) . . ? ~ _ ,t 307 Shirle~ St, t Havwwr 1 haw chanqsd my domjdb ~ ~ (Stn~t and Number) _ ~ b and am +nd havs basn s bona flds ~idant of th~ Shh of Fbrida sinoe 1S! ~y ~ Jul~ ~ 64 ~t i 3802 Ave ~ I i , • (Street and Numbs~) i' tORT ~IERCE. SAINT LUCIE COUNIY, lIORIGA . end this statement is to be taken a: my decleratbn of dtlzenshlp, adual Ipal residsno~ ~nsJ domiclls in ths Stat~ of Florid~. .(Insert her~ any pe~tinent facts, suth ~ sal~ of propsrty or bu:ins:s, o? reliriquid?nlsnt of ~mployms~t ' ~ ~ at former domitile, removal of family b new domidle, purch~ss of home, etc.) ; i . ' , i ? R ~ New' Domicile . ~ ~ ~ . F 1 . 132843 ~ . ~ f1lEDA0 ECO~~OK . ~ i~ ; 2? ph OS ' ; ~ ,9~5 . . ~r,,;,^~,~ o ~ . : + ~ ~ - Taas. aE~c ~ . ~ ~ ER P~~ Ri a : ~ ~ . ; ~ ~ , R~~UCIE C41lNT~'( ~ E1.0 ~ _ * :=w , N _ ~ ~ S1 _ ~ L. • : ' ~ _ : . . ~ ~ u~ - ~ t ~ ~ ~ : r : , ~ ~ ~ • , ~ ~ ~~wn~s••'~ ~ i • 4 j . ~~~~`~~r . . { ~ ' , 1 i n s ~~~.r ; . ; ~ FurtTHER cERnFlr th.t ~ wiu oomply wnh .u otM~ nqu~nrt~na of . ip~i n~~a«n of tht~ St.a. : . ' - I Fl1RTHER CERTlFY thet 1 havs no lntsntion to retum to my former domidis, and 1 intend to remain in fORT ~ PIERCE~ ~~~T WCIE ~OUNTY, FLORlDA, parmanently. ~ " ~ C 0 ~~i,;~~~ - ` ~ ~ ~ • • ~i~~ , ~ J ~ f ~ jC., • ~ . ~ ( G ~ . - V ~ ' ~ ; '.1~ . ~ • » : . M+une) ~ ~ • • ~ t+~ : ~ ` Ro~ O. Broqde~ r ~ ' ~j,'-• ' . : ' , 4.~' ~ ~ . ' (Atid~~st) I ~ 's,~',•; t'r~ G~.•``~~ / • , ~ . ~ ''~~~n,~~~u~~`'~ - ~ Sworn ro and wbscribsd bsfor~ mr this Z?t~ Jaouar~ 19 65 ROG~ POtTRAf ~ - • ~ - ~ . GtERK CiRC COURT ~ Notary Publk E ~ ~ D.G. My Canmiuion ~xpf?a ~i - . • ry ~ ~ R~ b~ ~oc~~w~d M dwplicaN a~d «i~al tiMi ~!~k CMak Gwt, a~wi d~liaN ~rill~ Tavc A~~a i 0. ` ' . eo~~ ~(19 ~450 ~ - -