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Home My WebLink About1305 7r. ? ..w~ w acla~atlon ot Do~»icil~ ~d Cltis~nshlp ~ ~ ~ 132991~ . TO THE STATE AN~ QOtJNTY TAX ASSESSOR~ S1. ItJCIF COUNTY, FLORI0/1: ~ ~ ; t Thi: t: my dacl~ration of Oomkll~ and ~;Iti~nahlp !n fM Stat~ of Horlda thit 1 am filinq this day in ~ooocdana and ~ in oonformNy with ChaptK 2~~. S~ction ~~Z.17, ffaids Stafuta. . ~ ~ Berwict Peuflsylvanis ~ 1 was form~rly a Isp~l ?~sid~nt of . 1 • ~ . (Cib) (Stat~) ~ ; ~nd i raided at 8. 8t21 Stteet ~K ! hiw chaip~! my domiqla ~ (Stretf Md Numb~r) . a and am and hava be~n . bona fids rKW~M of ths'Staa of Florid~ ~ina 10 day of ~ Ju1jr m 64 610 wisteria Avenue ~ . 19__, and 1 ralds ~t = (StrNt and Nun~ber) , ~ I~ORT NERCE, SAINT ltIC1E C01lNTY, RORIDA - ; . i •nd this :taternsnt js ro be taken a: my dsdantion of dtiss~~ip, adwl Ipsl res{deno~ and domidle in ths St~b af Horida. ; pnsert here any pertinent~fscfs, wch at ale of propsrty or butinsss, ot niinquislur~nt of ~mploym~nt at forrner domidle, romovai of family to ~sw domkile, purcha~ of hon~, etc.) - ~ , 132991 = _ ~s - ~ IN ~ ~ ~ ~ ~ ' ~9as~ 0°~ . ~ Bstablishiag resireace , . _ "z QM10• ~ • R~~ER POItR ~ ~ 07 ~~~,,,,~~~~n,,,;,, aT• lYC1E COUNTr S' ~ ~ ..~•f~ ~~T ~ " . - . FLp 'pA ~ v ~~~~~r~~~~ 0 . ~ ~.~•~V~~ r~,~ ; 4 ~,ti ,~i~G~~~.. . • • . : ~ : ~ ? ~ ~ Q = ' = 's~v . ~ a. : ' ~ : ~ ~ c : ~ - - . : . - , n+ . ~ ~ . ~ ~ , . . - • ; ~ - ~ ~ ~ . ' 1 ~ •~v~~~ C,~ CO • l ~ . I ',~~~~lI/111111~~~~,`, . . . 1 RJRTHER C.~R11F1f tfiat 1 will oornpir with all oehir nquk~nta of a Ipal rald~nt of Mds Stat~. ~ . . ~ ~ 1 FURTHER CERTIFY thst 1 havs no inte~tion t~ rotum b my formsr domidle, ~nd I intend to ~emein In FORT . ~ . . PIERC'E, SAINT LUCIE COUNTY, fIORIDA, permans~Ny. . 4 ````~~~11H 1111////f~~~ . 4 . : ~~.~`~GV ~ T....COG C~~~'~ ~Ql.., . ~ ~ ~ : v~:•'S~Jt, ~ (Name) - - j ~ J - G Z . ~4,p ~ ~ ~ . z~` i~': ~ m i'~ : . B~ith Csaouse : ~ ~ w • - : ' _ U~ddr~ ; : 4v . " ; ~ ' : . ~~~~''~~,~~E ~ a P~bruar~ 6S ~bw~H ~ and w~atbsd bsfon m~ tht~ d~y of 19 ROGER fOtTR/1f ~ CtERK COURT . - Notary publk ~ 0.~ ~ ~ M~r CornNMlon ~xpin~ . . ~ a. b. .oc.a».d M,i~NC.~..~ «+oi~l ~o ~~1~ ~~CE1~' a~i ~Y~e.~. wlll~ T~oc w.......a ~ ~ . , .