HomeMy WebLinkAbout1078 b: v Y~Mi4.~M~K~MI.r1~iw•?.~ ~ f ~Ai~!>~~i~Mrl[ ~~R~l. ~.~5~?~f"-K!f +Iar? • - + t' . ~ ~ r
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: Decl~ratlon o! Domicll~ and Cltl:enship ~
132854
TO THE ST/1TE ANO GOUNTY TAX ASSESSOR, ;
SI. ltlClE COUNTY, FLORIpA:
' Thi: is my decla~etion of Da~iciis and Citi~nship In th~ St~t~ of Florida that I~m filinp this c4v in atoord~~ and
; in aonfamity with ~hapter ~2~, Sectto~ ~24.17, florida SNtut~s. .
' Greeaf ie ld
~ ! was forme~lr s le~a! ~esldent of _ s~~~I~tR3~il~l ' Mac~_~h_~^ttS ~
(Ciy) (Stat~) `
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i and I rosided at 225 LOg P1aiD Rd~ . ~.~p~~ ~~w cha~psd my domWk
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` ro ~nd am and have bean a bona flde residsnl of the State of florid~ sinoe 1 day of
Aovember. 6a 3S06 Slo4n Road ~
t9 , .nd 1 rosid~ at ~
(5treet and Numbw)
~ fORT MERCE~ SAIN? LUCIE COUNTY, RORIDA .
and this statemsnt is to bs taken as my dedaretio~ of dtizsnship, acfus! Ipsl rssidenos and domkile in the Stats of Horida.
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(Insert here any pe~ttnent facts, such as sale of property or bu:iness, or relinqui~~nt•of empl~yment
~ at former domicile, removal of family to new domicile, pu~chase of twrr~e, stc.)
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i32854 • ~
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Bstablishing residen~e , I~~~ 11n~a;•~~~ .
' . - ~ fN {~~~ED ~.,,,~,~~~?,<<~~, ~
~ 800K
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+ . 196S JAf~ 28 AM 10: 5 ~
ROGER POITRAS. C[ERX
' St. LUCIE COUNtr. FLORlOA
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, 1 RlRTHER CERTIFY that 1 wili oompiy wHh ail a~tMr nqulnm~nta of a Ipal raident of thi: State.
1 FURTHER CERTIFY that 1 have no inteniton to retum to my former domklle, and 1 intend to ~emain in FORT
PIERCE, SAINT LUCIE COUN7Y, FLORIDA, psrmsnently.
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_ ~ j ~ ' ~ ~ - Lero~ B. Tuttle
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; ~ ~a:. 28 ,januar~ t9 65
~wwn to ~nd s~ubs~:~ bsfor~ ms fMs day of ,
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± CiRCUt ~ Notary Pubik '
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_ My C°mn~luion ~xpi~ ~
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g tr. b..aaart.d M d~ie.~. aua «~i,M.~ rN.a wi~ a.~lC ci~alt c.w~, .aa a~paea~. wi~ Tax A......ra
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~ BU K 1Q9 PAGE 4/ 4 ~ ic.
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