HomeMy WebLinkAbout1609 iY1~i~+~:lftJ~.~wYi~r+i~~i~~~ifiwis~J'1F~. ir1.~: ~.7•w?~ .
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~laration of Domicll~ and Citis~nship ~
TO THE STATE ANO COUNTY TAX ASSESSOR, ~ 133162
ST. LUG1f DOUNTIr. RORtDA:
Thit is my declsration of Domicils and CiN~nship i~ th~ St~N of Flortd~ that 1 am filinq thh day in aooordana and
i~ conformity with Chapter 2ZZ, Settiw+ 22~.17, Flotida Statutes.
1 w~s formsrly a t.qa1 ~td«+~ of D,vie • W Virginia
(City) ('St~t~)
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and i nddd ~t MaiD attect HowwK 1 haw chan~sd my domidk
(Stre~t and Numbsr) ~
b and am a~d fNw baen ~ bona fids roskle~t of tha Stats of Florlda si~a 11tL
~ • •
. June , 19 64 and I~ide at
'and Number) -
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l~ORT ME~E, fA1NT LtIC~ COUNTY, RORIDA - ,
and this stat~meot is ro bs taken as my declantion of citinenship, ~ctual lepal residenoe and domidis In th~ St~t~ of Horida.
pnss~l hers any pertinent fact:, such as sals of property or bu:iness, or roltnquishment of _empioym~nt "
st former damicils. ~emova! of famlly 1o nsw domicile, purchase of horr~e, etc.) _ ~
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133162 ~
Appl~ing foz homeatead
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1965 F~@ _9 AM 11: 09
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` - . ; ROGER POIT
ST. LU~IE COUNTr F~~Aj~
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1 fURTHER CgtTIFY li~i 1 Wfll comply wlth ~II o11Mr nquinfr~ts af a Ip~l nsW~M of thls St~te.
~..1 FURTHER CHtTiFY that t have no iMention to rotum to my forme? domWls, ~nd 1 Intend to remain in FORT
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9th Februaz~ 6S `
Sw~R b and wbsvlb~d bsfoh nw fhis dsy of . 19 ;
ROOER rO1TRA: " '
~IRWIZ Notary Pubik
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t. My C~niubn explns
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