HomeMy WebLinkAbout1258 ..y._...,....,...~- .
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Declaratlo~ ot Do~nlclle a~d Citise~ship
~ ~ 132'964
TO THE STATE ANC GOUNTY TAX ASSESSOR, •
51. lUC1E COUNTY, FIORIDA:
Thi: i: my decle~ation of Domicile and Citizenship in th~ St~t~ of Horid~ that 1 am filinq this day i~ ~ooordana a~d
!n oonformiy with Chapter 22Z, Section 222.17, Fiorida StatuMs.
~l.~/ • ' ~~~='C`''. i
I wa: fo~merly a legal rosident of ;
) (Sta») .
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and ! rostded ~t ~ HovwvK 1 have charped my domWl~
(St~eet and Numbsr) ?
~ s`
to and am a~d have been s bona fids ~esident of the'State of Florida stnos dsy of
~
r_. / .
, 19~, and 1 resida at
(Strset a~d Numbe?)
PORT rlERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citi~snship, actuai legal reside~os and domtcils in ths Staro of Fforid~.
pnssrt he~e any peninent facts, such es sals of property cr business, or reiinquishmsnt bf employmsnt
st former domicile, ~enwval of family to nsw domicile, purchasa of horne, etc.?
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132964
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~ ' f i~p~~ANp ECOROED : ~ ° ~ ' ' ~ _
ual
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~ 1955 FE8 PM 12: 52 = - - :
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~ ROGER POITRAS.CIERK • t ~ . : ' '
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S1. IUCIE COUNTY, flOR10 ~ :
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1 fURTHER CE~tTIFY thet 1 will oomply with all otF~sr ~1r~r~ttt of a lpal r~id~nt of lhls Stats.
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1 FURTHER CERTIFY that 1 have no intention to ~etum to my former domicJte, and 1 tntend to ranain in FORT
PlERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. " ~
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v~`''• ~~n t~o•ind wb:cribsd befors rn~ thh ~ s~ day of ~ 19~~ .
ROGER rORRAS ;
CIRCUIT COURT p~k '
dY a'''~'~ ~ D.C. AAy CorrrNssion ~cpira
~ (Te b~ ~ncue~d in dvptiea~ aMl ai~inal Al~d wi~ Cl~k Clrcrtt Gwf, u~d d~liaN wi11~ Tan Atr~~,?
eo~~ 1~.0 Fac~ 5~