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. D~cluatlon ot Dornl~ll~ ~nd C1tls~nship ~ ~
~ .133153 ~
TO Ti~ STATE AND C'OIJNTY TAX ASSESSOR, ~
ST. lUC1E COUNTY. RORIDA: ~
This is my d~clantio~ of Oomidl~ a~d Citimnship i~ th~ St~t~ of Ftorid~ that i am filirq thi: day in aooord+na and
in ~forn~ity with Chapter 224, Ssctbn 422.17, Flaida Statut~.
1 wa~ fixmKly a le~l roside~t of Pocoao ~ Pa
- (Cty) (Sta»)
and 1~idsd at pocono ~ HovwvK 1 haw d~nqsd my domW~~
• (Str~st and Number)
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b and am and haw b~en ~ bona fid~ ~id~nt of ths Stat~ of Fbrida si~a 28th ~y
~ . .
October ,~q 64 ~ ~ n,~ „ 1002 Texas Court
. (Strsef ~nd Numbsr)
IqORT M~, iANrT LUC~ COtlNTY. RORIDA ~
f
a~d this sta/Nr~t is to bs taken as my declaration of dtizsnship, actu~{ leqal r~idenos"a~d domidle tn 1M Shtr of Horid~. '
pn~t hero any pe~finsnt fac~s. :uch a~ sale of prop~e~ty o? businai, or reltnqui~me~~t of employm~nt #
at formK domidls, ronwval of family to nsw domicile, purchass of home, ~tc.) ~
Appl~ing for homestead
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. 133153 ,'`.d^' oa 3••"',-
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ECO DED ~ - ' ~ . ~ . '
~1 800K = ~ y . . _
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1965 FE8 -g PM 4: 08 o`~:~ ~ • ~
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J'•• n
ROGER POITRAS. CIE~K - ~'~~.,,,_t ~n~~a
St, lUElE CBUNYy. flpRiDA _
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1 RJRTHHt CdtTtFY fh~t i wiii oompiy wMh all othu nquir~nwnti of a lpal »std~nf of thN Stat~.
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1 FURTHER CERTIFY that 1 hsve no intention to ~etum to my formar domidt~, and 1 intend to remdn In FORT
,
- PlERC~ SA NT UKIE COUNTY, FLORIDA, permansntly. .
`~~~~~~~~riNr~?~~' i
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~ - v-~~ • ~ A. Lero~ 8 HSs Bond
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~ G•~`''~~ 8th Pebruar~ 19 6S
- ~`~oin 1o ind wbsaib«! brfon n~ tl~is day of
~00lR ~ORRA=
_ ~0011RT _ NWary Publk
~ a/ D.C. My Canrniufon ~xpihs
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(Ti i~ ~oacM~~ M d~pNeaN a~ ai~iw~l Ai~ wMr Cl~lc awM Cw~t, a~ drplteM~ wiN~ Tiac A~~,
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