HomeMy WebLinkAbout1490 - _ .r _ ~ . ~ . . . . . - - - - - ~ ~
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D~cluation ot Domicile and Citis~nship ,
133Q~3
TO T~ STATE ANO GOUNTY TI1X ASSESSOR. ' ~
Sl. Ll1CIE COUNTY. FIORIDA: ` .
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rhis is my d~clantion of Oomicile and Citizenship in the State of Horida that 1 am fili~q tfiis day in aaoordana and
i~ aonformity with ChaptK 22Z, S~ction ZZ2.17, Florids Stetutes. ~
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i w.s fwrnKiy a Ip.l ~a~id~n~ of ~ T~~~~ ' Florida
YGN) ~ (Stah)
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5005 Stoils Aqeoue ~ ~
and 1 restded at ' . l~brv~v~ 1 h~w d~asp~d my domWl~
(Street and Nur~) ~
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b and am ~~d havs bNn • bona fid~ r~sident of ths State of Florida ~Ino~ 1 day of
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October ~ 19 64~ a~ 49S Abeto 1•~t4e~ Pox't St. Lttcie
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EORT NERC~. SAINT LtK~E COUNTY, RORIOA
end thts :tats~rNnt i: ro bs taken as my declaration of citizsnship, actual le~al ~~sidencs ~nd domkile in th~ Shts of Horida. •
pn:ert hsre any per~nsnt facts, such as ssle of property or bu~insu, or roltnqui:hm~nt of unploymsnt ~
at former domidle, removal of family to new domicile, purchass of home, etc.) ~
-133(;~3
: Fq.ED A(YO RECORDEp
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OOK i
, ~ex,~,blishing resideece : 196SFE$ -~5 PM I: 10 . ~ _
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_ - . . ; ST~IUCIE POITRAS. ClERK
- COUNTr, fI.OR10A
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~~~~R 1~ ~ M/~~~ OOfl1~y W~If1 a~~ O'I~K f~QU~fNll/flti O~ • fM~flf O'F i~l~i Sh1l.
1 FURTHER CERTIFY th~t I hsve no inte~tion to ~eturn to my former domkjle, and I inf~nd to rem~in in FORT
P1ER~E, SAINT LUCIE COUWTY, ftORtDA, permsnently. ~
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- ' ' . ! ~ Charles Ankro~s ~
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~ c: t.~~i to sul~crib.d b.for. me this 5 day of FebruarT 19~~
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ROOlR ~OITRAf • - }
CLERK COiIRT _ Notary Pubik '
; _ 0'l? D.C. My GarwtUssion ~cpi~ ~
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: R• b~ ao.a».r i~ ~liew .~i «i~al Ai~i wilh d+i«I~ Ci~~aM C~, a~i ~liaM wilii Tiac ~M.w..~
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