HomeMy WebLinkAbout1257 . . ,.,y:~~,..~~.. ~ . _ . .
- Dectacatio~ ot Domlcl!• and Citisenship ~9
13~c:963 `
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TO THE ST/1TE M10 COUNTY TAX I~SSESSOR,
ST. LUCIE ~:OIJNTY. l~ORIDA: •
Thit is my declaratioR of Oomidls ~~d Cltize~ship In ths St~t~ of Florid~ that 1~m fflirp thlt day in aaoordanq and
in ca?formiy with Chapter Z~2, S~ctbn ~22.17. Florida St~tut~s. -
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1 was formerly • leqal rosidsnt of ~`r"~'~'~~''~ ~
. ' City) . a») ?
and 1 r~id~d at ~ , HowwK I h~w dom 1~
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to ~nd am and hsve been a bona fids resident of the'State of fiorida sinos day of ;
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, 19 `y, and 1 roside at •
(StreN and Number)
~ FORT MERCE, SAINT LUCIE COUNTY, FlOR10A • . '
and this statement is to bs taken as my declaration of dtizsnship, actusf legat reside~s ~nd domtdle in ths Stat~ of Florlds.
. (tnss~t here any pertinent facts, :uch as sals of property or butinsss, or rolinquishr~snt of ~ptoyment
at former domtciie, removal of family b new domicils, purchass of 1wn~e, e1t.)
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' A D REC~ DED .
- eco~ 800K .~~'.~a'`3
IN . ,
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- 1965 FEB -1 PM 12: 39 . ~ _ ° ~ _ . _ ~ '
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• ROGER POITRAS. CLERK ' ~ ~ ~ ' ~ , ~
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- St. LUCIE COUNTr. fIORIDA = '
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I FURTHER CfRTfFY that 1 wlll cornply wNh a!! otMr requlrwr~nls of a ipal r~{d~rit of 1fib Sht~.
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1 FURTHER CERTIFY that I have no intention to retum to my former domk3ts, and I inbnd ro rsm~in In FORT
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PIER~E, SAINT IU~IE ~OUNTY, FLORIDA, permsnenNy. ~
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V~; . . ••yG~~ (Name) '
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.~Swb'rn~toand` ~~}ubsaib~d bsfor~ mt thit tlay of ~ 196'~
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ROGER rO1TRAt "
CIRCUIT COURT Notary Pubik
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C. Mr Comn~i~ion ~xpin~
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