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D~laration ot Domiall• a~d Citis~nship ~ ~
133135
TO TNE STATE MIO COUNTY TAX I?SSESSOR. ' - '
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3T. tUC1E GOUNTY~ fIORIDA: ~
Th ii d~duation f Oomidl~ ~nd Citiunihf in t Stat~ of Florida that I am fili this da in ~ooordana and
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in ao~formity with Chapt~r 2~'l, S~ttbn 242.17, flaid~ St~tut~.
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Suc~rus . Obio {
i was formKly • Ipal rosid~nt of ~T ~
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and 1 r~sid~d ~t Rt 4 Horww? I fiaw chanped my domWl~
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b a~d am and h~w bMn • bona fid~ ~td~M of t1w Stab of Florida dna 18tb d~Y ~ ;
~ 'September 64 ~
19-N a~d I~ids n 326 Holl~ A~.e _ Riv~ P~ rti ~
(Str~t and Number)
lORT ~I~CE. sAMIT LtIqE COUNTY, RORIDA ,
, a~d this ttatsnwnt is to be take~ ss my dsdaretion of dtizenship, actual lepal r~sidena ~nd domidla in tht Sht~ of Hortd~.
qraut Mire any pe~tinent fsds. such ss ~le of propsrty or business, or roltnquishme~t of ~n?ploym~?t
at farmer domkll~, removai of family to nsw domicile, purchase of iwme, etc.) ~ ;
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Applying for homestead _
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1hi1 ~ 1M~~~ ~fll~y M/~i+l O~~1K fM~{i~f~ffl~fl~ O'f a~~ fM~~flt Of 1~i .Sh1~. ~
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i RJRTHER CERT(FY that ! hew no inte~ti~x~ to rotum b my formsr domWl~, and i intend to rorrwtn in fOitT
; PIERCE, SAINT UJCIE COUNTY, FLORIDA, psrmsnsntly.
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~ •.CD ~~i ~N,
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= c, ~ . G~'••~ Ralph C ~eller ~
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~ •~'w~rQo ~'wbsatb.d b.fa• m. this ~th day of ebruar~ 14~
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CIRC~ GONR,T Notary P~Wk
df? ~~L D.C. My CQnwniuton ~xplns
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tT~ M~aaarl~ M drplkal~ aMi Ni~~l AI~ wNl~. CMrk C~e~rM C~~, aw/ ~ikM~ wiN~ Tw~ A~~J
• ~b~x 110 ~?c~ 366 -