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HomeMy WebLinkAbout1715 ~ D~aluatlon ot Domlctl~ and Citts~nshtp ~ , TO TNE STATE AND t~OtINTY TIU( ASSESSOR. 13~~rS ST. LUCIE COll,~1TY. FLORIDA: ~ Thii 1: my d~dantio~ of Domicile and qti~?ship in tl+~ St~a of Florida that 1 am filinq this day t~ aooordanos ~d ~ in aonformlly with Chapfer 2ZZ. Sation 22Z.17, flortd~ Sfatuta. ~ w,s form.rly a Ipal ratd.m of B,~Aapie Shade ' NeM .~erse~ ~ (Ctty) ls~~»I ~ ~ 569 Buttonwood Ave. ~yr~ ~„y ~~N ~ (Str~t and Numb~r)~ - ~ b ard ~rn u~d haw t~n ~ bona f1d~ re:id~M of the Stah of Florid~ si~os 4th ,~y ~ ~ E - ' Pebruazy ~ 1965 1514 Citrus Ave_ f , (Stre~t a~d NumbK) i lORT ~I~C~, ~AINT ~UCIE COUNTY, ROR~A . aod thts st~tement i: ro be take~ as my dedsratton of c~tizenship, adual ipal ~esideno~ and domidl~ in th~ Sta» of HorWa. ` pn~t hers any pe~tinsnt fads, :uch u sale of propsrty or business, or relinqui~ras~t'of ~mplaymrnt ~t io~mer domkils, removal of family to new domiale, purchase of hane, Nc.) ; , ! ~ ~ . Bnteri~g chib~lre~ ia school ~ 133~`~8 - . ~ • o~ , . . ~~j,yy . ; ~ f ILED ANO RECOROED = ' ° ~ ~='`~''•s ' . : . : , - : : ~ ~ IN,~a~t..~,~.800K - . : ; o ~t~ - ~ p, • • _ ~ : - ~ s . ~a- I~M I PM IZ• s~ t~.: . 1965fEB I ' 4S • - ~ ~i,~~,.~~-~;,'~'« ' ~ o Nnns ; - ROGER POITRAS. CLERK , ~ ST. IUCIE COUNtY. FLBRID , - ~ ~ ~ - . . . - . ~ - , / . ~ 1 , ~ 1 FURTHER C~tTIFY that I will aompiy wfth di ath~r nquirwn~ts of a Ip~l n~{d~nt of thb Stat~. ' ~ . , 1 FURTHER CERTIFY that I h~vs no int~ntion to retum to my formK domk~i~, and 1 iM~nd to rorrMin in FORT . ~ PIERCE, SI11NT. WCIE COUNTY, fLORIDA, psrmanenNy. ~ . ~ _ ~ ~ ~ ~~G V ~ T X , ? i 4~.•g~~M ; ? ~ . ~ Catheriae Pteffer ~ = + ; • `~a~ 9~ i ; ~;'•'t~ .o , ° : } a i 1/~ • ~/r. : 1 ~ ~ ~ • S ~ • , • ~'~.1 ~ . s ~..r'• , (Addnss) l~..~~ ~ C Q . . ~~~5'~4btrrle`1?id subscrib~d 6~f~ors n~ Ihis llth ~y ~ FpUru~r~ 19~5_. ~ ROOER rO1TRAi . . . C~CttR COURT ~uy p~k el? ~'L ~ D C. My Cann~isdoi+ txpihs ` - R~ rs ~oacw~d i~ d~pNca1~ a~i «i~iMl Al~i wilb Cl~k cb+aN c~wrt, «n1 d~W~al~ will~ T~ Aww~a ; ~ . aoR~' ~10 ~c~511~