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• v .a - - - aaluatlon ot Oomlall~ a~d Citls~nship . TO THE STATE AND tOUNTY TAX ASSESSOR. ia~i~4 ; { ST. IUCIE COUNTY. aORIDA: ~ _ This i: my dccla~atlor~ of Oomidt~ and ptl~ahip n1 th~ Stah of th~t 1 am filinp this day tn ~ooordana and ~ in co~formiry wtth ChaptK 2Yl, Satbn ~~2.17. Horida Sfatutu. ~ Wai ~OfRlef~r • ~pa~ fAi~f11 Of Pi1~~=@ C~1; fnrn; ~ . tC~t~?) (St~1~) ~nd 1 rotided at 800 Hlaod Hovww~ 1 haw d~a~p~d mr don~WN l - tStrNt ~d Numbsr) ~ ~ b~nd ~n ~~d h~w !~n a!~a ftd~ nsW~nt of thi StaN of Fbrida ~ina 21 day of ~ ~T ~ , tq~, .nd ~ nstd. n 35? Jobas~i Street - cStn~t aad rJu~r~b~. . l~ORT MERCR~, SAINT IUCI! COUNTY, fLORIDA ~ • and this~ :tatemsnt i: ro bs take~ e: my dedaratbn of dtl~n~lp, acfwl Ipal raidsno~ and domidle in th~ Stat~ of Horid~. ~ } pn~t hsro any psrtinent fact:, wd? at sal~ of property or b~nineu. or ~~Iinquishn~nt'o~f ~rnp{oyrrwnt ` at former domidle, removal of f~n?ily to nsw domidk, purchas~ of horrw. Nt.) . ~ • ; .L3~~4 f - ~R - 1 ` . . ! j - 19i5 f~ ~ ~ i ~ _ . .B . Rp ~2 ~ AM 11: !2 • stsblishi~g reaide~ce . o~,E CD~NRAS p,~ ~ r• ~LORIDq , ~ ~ ~ . ~ ~ - - . ~ . ~ _ . ~,......w~.. . _ ~ - - . _ , • _~~~~t~~„ry~ ~ , ' 0 ~~i~~i.;r _ ~ , ~ ~+4 ~ `:r:. ~ . . :u~~ ~ . . ~ . • ~ ~ Y^,~ ' ~ {r ~ . r . j • . ~ FURTfI~ (~T1FY 1fNt ~ W1~~ Q0111(~y WN~1 ~ OffNf 1'p1lkrlrNflM Of fMldNlf O'~ ,~1~:'• i ~ , i' ~ti`~• ~ '~~r~aqsr~~, ~ I RIRTHER ~CERTI~Y that 1 have no iotantion to rotum ta my fo?rrwr domidit, and 1 intrnd to rsrruin in fORT PIERCE, SAINT UlC1E COUNTY, FLORID/?, psrmanantly. . ~ 1 i - ~ ~ . ~ ? t . 1 ! r`. ' (I~et?~) - I ~ . ~ ~ • ~r - Lsrs~ LTnn Martin ; . . . : . ~ . V?ddr«~1 t ~ ' ~ : ~ ~ • ~ • _ , ~ ! . ~5=, . . • , • ` • ~ . ..-~vt j~i+iq4 ro sub~aibsd bffort n~. thi~ ~ a~~ Febrnar]? . 19 bs . 4 ~ ~ y ~ . ~T ~ - . . Notary Publk ~ sr o C. _ Ny, co,n~„ntio~, ~xph. . . - '~8~?~ 110 ~ ~ ~ . ~~04 ~ R~ w~acM~i M~IieN~ a~i «I~M~I AiNI ~rNle C~k CN~a~i1 Gw~ a~i ~eaN wMM T~oc A~wrJ ~ ~ - ~ i •