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Decla~atlon ot 0?on~icil• and Citise~shlp
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TO THE STATE ANC COUNTY TAX ASSESSOR~ . _
ST, lUC1E COUNTY, FLORIOA: _
This i: my declaretlon.qf Qanlcile and Citlzs~?shfp in th~ Sta1~ of Florida th~t I am fllinp thi= day tn aooordsna ~nd
in aonformity with Chapter 222, Section 422.17, ftorida Statut~s.
1 was formerly a Isga! resldent of Abbevi l le •
. (City) lStab) ,
•nd I resided st 171 t WsSt p~sCh . HowevK t h~w thanqsd my c#r~rrtldl~ .
(Street and Number) °
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ro~nd am end hevs been a bona fida ?ssldent of the State of Florida. stnos ~ 14th d~y ~
~ December 64 2406 North 24th Street
, 19 , and I reside at
- • (Street ~~d Numbsr)
FORT MERCE, SAINT WClE tOUNTY. AORI~A . •
and this statement is to bs tsken as'my declaration of citizMShlp, adusl lepal restdeno~ and domkile in th~ Sta/e of Horida. ~
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pnsen hers sny peninent fads, such ss sals of propsrty or buiinsss, or relinquishment'of employment ~
st former domicils, removal of family to nsw domidls, purthsss of homs, etc.) _
Bstablishing residency
- 1329"~'2
. flt~0 AND RECORDED . ~ . ~
II~~ _ . .a~p~-~dUK . . ~ ~
. 1965FEB -1 PM 2: 39
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~ ROGER POITRAS. CIERK ~ ~ ' ~ =
• ST, IUCIE COUNTT. flOR10d ~ = ° ~ ~ = j
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I~fi J W 115.,•'
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. I FURTHER CHtTIFY tfiat 1 wlll oomply with ell othsr roquthnwnts of • Ip~l ~IdeM of thb Stats.
~ t FURTHER CERTfFY that 1 have no intention to retum to my form~r domkjl~, a~d 1 intend to ~eme{r in FOtCT
, PIERCE, SAINT LUCIE COUNTY, FIORIDA, pe~manentfy. . -
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f ~~~'~~~~q~~yli~wbxribsd before me this lst Febsuar~ 19~5 ~
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; Rooa~ rom~ws - . '
,I CtRCUR COURT No~ary P~lk .
~ D.C. My Conxnlssion exptra .
_ • _
(Te b~ ~oc~wbd in d~plkat~ ~nd o~i~i~a1 fi{~ wi1~~ ~pNeN~ wid~ Tax Asr~a .
~ ~ - - B~IJ`~ `~~ACE""~~ ~ _