HomeMy WebLinkAbout1163 _ .r.... . . .
Decla~ation ot Domicile a~d Cltis~nship 1329Qg~
TO THf. STATE AND COUNTY TAX ASSESSOR, •
51. WCIE COUNTY,. FLORIDA: ~
Yhti is my decliraffon of Domicils a~d qtizsnship in th~ Stat~ of Ftorida that 1 am filtnq this day in aooordano~ and
in conformiey with Chaptar 222, SscNon 222.17. Fiorid~ Statutei.
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i wsi formerly a lagsl rosident of Horden ~ Iad. f
(~ity) (Sta») `
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General D~1. . ~
•nd 1 rosidsd at 1~lovwwr 1 haw charp~d my domidi~
(St~t and Numbs~) ,
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to and ~m arx! havs bea~ a bons fide rosident of the St~ts of Horida sinos 1St ~y ~ ~
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F~b' , 19 64 a~d I rostds ~t laQS~So~2.Ttt~ St
(StrMt snd Numbsr) ~
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and this statement i: to be teken as my dedsration of dti=enship, actual le~pi restdenoe a~d domicil~ in th~ Stat~ of Horid~. j
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(Insert hsm any pertinent fscts, such as sale of propsrty or bu~i~, or rolinqutshrasotbf smploymsnt ~
at former domkile, removal of family to new domicile, purchass of hort~e, Nc.) ;
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8st~biishing residency and appl~in~ for hooestead ~
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; ~ .1965 JAN 29 AM 9: I 4 ~ ~ • w ~ .
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; ~ ROGER P0ITRAS. CLERK - `r'''~i ` ~ ~
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ST, l-UCIE COUNTY, fLORIOA ~ ~ . ~ ~
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~ 1 FURTHER Cf~tTIFY thal 1 Wlll oomply With ail olhw nquir~nNMs o?f • Ip~l reNd~M of t6is Stah. ;
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~ 1 FURTHER CERTIFY that I have no intention b return b my fonnsr domWle, and 1 intend to ~em~in in fORT
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, PIERCE, SAINT LUCtE COUNTY, FLORtDA, permanenNy. ~ ~
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J - ~ (F1ams)
~ s j; " • . ~ = ~ Joha Hoke
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~~~~"sw"o~K'to.nd wbsaibsd be~~ me this 29th ~~y ~ Januar~ iq 6S
Rooet rom~?s
~ ttRGUiT COI/RT ' Notary Pubik ;
a.~..4,G ~~~x~- ~
c. Mr ca~+i~~on ~
` R~ b~ .x.e~w+d i~ d~r'licat~ a~d ~i~Mai Awd ~ G«k CirerM Cwit, «~i ~N~ wMM Tavc A~wK~ -
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