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HomeMy WebLinkAbout1334 . v.,......_,..... ' . . • ~ Dealaratlon ot Domiail• and Citis~nshtp 13300$ TO TNE STATE MIO COUNTY T/U( ASSESSOR, ST. LtlC1E COUNTY, FLORIDA: ~ . Thi: ls my dsdaration oi Oomicile and ptiz~nihip in th~ St~N of FIoNd~ tfiat 1 am fllinq thi~ day in aooorda~a a~d ~ in ca?formity with ChapfK 2Z~. Sectbn 4~~.17. florida &atuta. ~ ! wes formerly ~ lepal resident of Dundee ' - Illinois . (CIb) (Stat~) •nd 1 reslded at - Box 26?. Route #tl Hovwwr 1 hiw duaq~d my domidi~ ~ (S~ne~ and NuR~) ; _ ; ~o ~nd am ~nd h~w bean ~ bona fids r~id~nt of ths' Stats of ~Florida tina 26~~_, day of ~ ~ ' ` ; January t9 65 ~ 400 Geor,gis Avenue ~ y ~ S ~Street and NumbK) I 1oORT lIERC~, SAINT lUC1E COUNIY, fIOR~A • ~ ~nd thi: :tatement is ro bs taken as my'dedaratlo~ of dfisenship, actual lepal residena and domkil~ in ths Stat~ of Fiorida. ~ . , ~ (Insert here any pertinant fsct:, :uch a: ssle of propstty or butineu, or relinquishrwsnt'of employm~M ~ ~t former domkils, removal of family to new domicik, purchase of homs, etcJ - ' For Placing Children in Scbool _ . _ - ~ - ~ ~ ~ ~ l~oos Ronda Sitz 9 yrs. old Janet Sitz 6 yrs. old ~ .aN R~~QR~~Q ~ ; j ~ • ' ~ B~OK ~ ~ ~ - • l9b5 FE`B _2 pM 20 ~ ; ~ i - ~ ; l'~,_ ~ - ~ s~~ UCIE POITRAS. CIERK . . : ; , • COUNtY. F10RID~ = `C! : ~ ~Gi r~1 . ? : - • ~ 1 O • w i - ~ _ I 2 • ~i~• ' j ~A • ~ ~ ~ . . ~ ~ • . : ~ ~ . 1 : ~ '~i d ~ v ~ ~ • i~. . . . i~? :.•._M_'J ` . . ~ : i ~ ,ry _ r.~ i ~ ~ ' UCI ~ ,.G~,````~~ ~~~~h ~ u ~ N~N~~~` : , , - . . ' 1 RIRTHER GERTIFY fh~1 1 WIII aompiy with all othK hqult~mM~fs of ~ I~pai raid~nt of thls Stata. ~ 1 fURTHER CERTlFY that ! have ~o Intentio~ to rotum to my form~r domWk, ~and i int~nd to rem~(~ in FORT PIERCE. SAINT LU~IE COUNTY, FlOR10A, permansnNY• ~ # 3 . ; , , ~/~i~ 1 (Nams) on~ Ta or 400~Georaia Avenue. Ft. Pierce, Pli ~ (/?~ddras~ , - ?c - 'swdr~i ~o4.~d~~ibed bsfor. m. this aa~ ~Y ~ Februar~ ~ 19~ • j . . i'~ • . ~ ff• ~ • ~ ii ~ ~ ~ir ~ ~1 Sc i CIERK CtRCUtT iOiJR'T Notary Publk ~ . ' v ~ 4 .v ~ . ~ ' ~ D.C. Nlr ComrtJs~io~n ~cptn~ ~ t ~ ~rlf - i - ~ ~ a. b.~.oncw.a M d~aw..~ «1~Mr ~Mi.~rill~ a«i~ a~a~t c.~rl; .~1 d~li~.~. ,~NI~ T.o~ w......~a - • 80RK ~130 ~