HomeMy WebLinkAbout1250 • . r . ~ ~ S. f-- -v y~; •
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~ 132958 ~
~eclaratlon ot Domlcil• and Citlse~ship
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TO THE STATE ANO COUNTY TAX ASSESSOR~ ,
ST. WCIE GOUNTY, FLORIDA: • • ~
Thii is my declaration of Domidie a~d Gitizenihip in ths St~b of Florida th~t 1~m flll~p thts day in aoootda~a and
in oonformiy with Chapter 222. Section 2~~.17, Flaida Statut~.
, 1 was formerly •(egai ~esident of ~vittoua ~ New Y~rk =
{City) : (St~») ~
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and i restdad af a6 Csrria~ge Land t~ow,.v.r ~ hav chanq.d my c~pmWl. ~
(Street and Numbtr~
ro a~d am and havs been a bona fide ~estdent of ths' State of Florida tinos 2Qd d~y of ;
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Aoril ~ 19 64 at Caaaino St.
(Stre~t a~d Number) ~
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fORT MERCE, SAINT IUCtE COUNTY, RORIDA • _ ~
and this statement is to bs taken as my decla~ation of citizenship, actust te~ei r~idsnce and domWle in ths Stst~ of Florida.
(Insert here a~y pertinent facts, such ~s sale of property or business, or rolinqui~hment'of ~mploymsnt
~ at former domicile, removal of family to new domidls, purchass of hans, ~ttJ
: 132958_ i
New Domicile 'M
~I 0 A~YO RECORDED ~ '
~ . 800K ~
1965 FEQ - ~ AM I1: t 4 _ i
ROGER POITRAS.
• _ : -S1. IUCIE COUNIY. fLORIDA ~
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f RJRTHER CERTIfY that ! wlll aomply with all olfi~r rp~?t~ri o~f a_ ip~i ~aid~nt of thi~ Stah. ~
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~ 1 FURTHER CERTIFY that i have no intention ~to retum b my formsr domWls, and 1 intsnd to rsm#i~ in FORT
PIERCE, SAINT ~UCIE COUWTY, fLORIDA, permanentiy. ' ;
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, ' • • r? ~ ~ Thomas J. Sullivaa
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~ ~ r' 1 E•~~ ~ f m ist F~bruarp 65
Sworn to and wbsuibsd bsfors ms tl~b day of 19 .
Roo~ romu?s \ , .
a~uc uR cou~ . tror,~r w~tk - `
ey ~m' . D
G. My Co~rMr~i~on ~xpins
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: R. b..~aaN~a iw drpticat..wa ~i~Ma! w.d will~ a«k aeadl c.w+. ,~i ~Ifea1. wIN~ t.x A...w..a ~
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