HomeMy WebLinkAbout1252 ~ ~...wr : .N~..h ~i - -
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Declaratlo~ ot Do~nlcil~ and Cltisenship 'D f
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• 132960 i
TO THE STATE M1D COUNTY TAX ASSESSOR, ~
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Sl. lt1CfE COUNTY, FIORIDA: ' ~
This is my d~cl~r~tion of Oomidl~ and Citiz~ruhtp in th~ Stats of Florida that 1 am filin~ this day in aooord~nc~ ~nd ;
' i~ confo~miH with Chapter 22~. Sectbn 222.17, flaida Stawt~t. ~
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1 wss formsrly a lsqal resident of ~
(City) ~~h)
and 1 rosidsd at . HovwvK 1 haw chup~d my dornWl~
(5treef a~d Number) ~ .
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ro and am ~nd have bean a bona fids ?esident of ths' State of Florida sinos ~S day of ~
~ ~ ~9 `S' ~ ~ ~'9e/ .~.~.Lu.,C ' ~ ~
and kk at '
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, (Shest and Numbsr)
fORT ME1tCE, SAINT LUCIE COUNTY, RORIDA • '
and tf~is statement is to be taken as my decfa~ation of dNmnship, actua! Ipal ~esidencs ~nd domkile in ths Stat~ of FIQ-ula. '
(Insen here any pertinsnt facts, such as ~le of property or businau, ot ~elinqui~ment'ot emp{oymsnt
~t forme? domicils, removal of family to new domkils, purchess of home, etc.)
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_ - - 132~0 s/;,,.~~0~ ~.t~~
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~ - Fl~ED AHD RECO DED
- IN ~ci~l~.._BQOK , ; ~ : - :~N
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~ ~ ~t96S FEB - I PM !2: 19 - * ' ~ . ' ~ : ~ ~ ~
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ROGER POITRAS. CLfRK ~ , ` , ` ~ ~ ~
St. IUCIE COUNTY, fl9Rl A ~o' a,-
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1 FtlRTHER GHtTIFY that I will oomply with ail oN~er nquinnMnfs of~ ~ Ipai ~Id~nt of thb Sht~. ?
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1 FURTHER CERTIFY that 1 hsve no interttlon to return to my formsr domk}le, snd~ I intend to rem~in le FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~
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Sworn b and wbsaibed befors ms tfils day of 19 .
ROdER rO1TRAS ~ ' J
CIRCUIT COURT - , Notary Publk
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~ 0.C. . My tonxnisslon fxpira ~
Re b~ ~oc~aehd M dvpNsati aad oriDiw~l Al~d wlll~ C~k CirwN Cow~, Md d~plkal~ wiM~ Tavt A~rJ `
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