HomeMy WebLinkAbout1384 . _...,...,......F.. ~ . _ ~ . _
~ ~eat~uation of Do~nicll• and Citis~nshlp 133Q3;~
TO THE S~ATE M1D COIJNTY TAX ASSESSOR. . ~ '
ST. ~lJC1E COUNTY, ftORI~A: ,
This is my decieratlon of Oomkile ~nd Citi~snship i~ th~ Stat~ of Flaida that I am filinq thtt day in aooordano~ and
in conforr+nily with Chspter 4Z2. Ssction Z2~.17, Horida Statut~s. .
I was formerly a is~al rosident of ~ Vtro Heach ' Florida
~ (Ciy) (Sta»)
and 1 ~~tded at $31 21s t St ree t~ ~w~ ~~~s ~~~le '
~ ~ (5h~et ~nd Numbsr)
ro and am ar?d havs besn a bona fide resids~t of ths'Stab of Flaida s(nos day ot ~
~ . . ~ -
A~ril , 19~4, and 1 reside atPtlOmi~lo MOt~l
- (Str~st and Numbar)
' Fo~rr MaecE, sw~Nr ~uciE couNnr, aoRw~ - .
and this statement is to be taken as my decla~ation of citizenship, actual Ipal nsidena ~nd domidle in ihs Sta» of Horlda.
(Insen hers any pertinsnt facts, such e: sefs of property or ~siness, or rellnqulsM~snt ~f employms~t
at former domicile, removsl of family to new domkile, purchase af horne, ~tc.) ~
Applying for homestead
. , 133039 . - .
FlIED AND RECORDED
- ~ IN ' BDOK o ~ • ~~J~
.,r
1965 F'EB 3 . - ~ ~
- ~PM 3: 04 : ~ . r=
~
. ;
- ~ ROGER POITRAS. CLERK . ; • ~ . ~ -
~ ST. LdCtE COUNTr. fIORiD ~ ~ ` =
r~i~ ~~:!1~15, ~~rr '
. •-~?n~~`~•~''~~
~
~ .
1 FURTHER GHtTiFY th~t 1 will oomply with all ofl~er nqair~n~nt~ of a I~pal r~sfdsnt of lhls St~te. (
i
• • . ~
I FURTHER CERTIFY that 1 have no intention to retum to my former domkils, and t tntend to remain in fORT
P!EltCE.
S~q1~+IT~W~C1E COl1NTY, FLORIDA, permanenNy. ~ ~
; ; ~ ~ CO~~; ~ :
f 4~'• ~ ~ ~ G'~~ ' / ~ P7~u/.l7 0 -
, ; .r _ '
`
~ x . ~ - : ~r ~ $artolo xusso
'r,~? • • : % ~a., ~ E
~ `t . • . ,(~d~
!
~~t~! ~ •G~.~'` - K
Angelina usso
~~~~~~.u~~~~~'~ -
Sworn ro snd wbsaibed bsfor~_m~ this ~rd day of Peb. ~ 19 65
, ROG~ rOfTRAS
CIRCWT COVRT _ Notary publk ;
sy ~'Q' O.C. - My Comn?iuton exptns ~ ~
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F Re M anarhd M duppcah awd aioleaf fiwd wilh CM~Ic Nrw~it Gwf. a~d d~Msaw wilb Tax As~K,1
~ . - ~ ap ~ s~o ~~Esso .
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