HomeMy WebLinkAbout1784 ' y~?•r.~1~aH.r.w - ~ ~
D~luatlon ot Domi~lt~ a~d Citlstnship ~
TO TME STATE ANO C'OUNTY TAX ASSESSOR, ' 1L~~
ST. WCIE COIJNTY. FIORIDA: ~
This is my d~duation of poi~icil~ ~nd Gti~ship in tiw Sbt~ of FloNda that 1 sm fiU~p thb day M aooordano~ ~nd
in oonformity with dNpte? 2?2. Settlon Z22.1~, florida Sh1utN. ~ , .
~ wa: ~m.~1y • ~pa~ r.sw.~~ of ~ Worceater ' 1?~ass. "
. (City) lSt~t~.) .
~ ~t 464 Buracoat Street HowwK 1 haw chanp~d my domWl. E
(Strwf and Numb~~) ~
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b and an and h~w bMn • bor+a fid~ rosid~m of the Stat~ of Florida ~ina s~h day af ~
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~Pebruar~? 6s
tq , and ~ r~,ide ~t 153 Sesete Court Port St_Lucie
. . (Sfn~t and NumbKj
PO~T NERC~, ~AprT ttldE COUNTY, RORIDA .
and this stat~?~nt is to bs taken ss my dedaation of citi~snship, actual Ipal ~~sideno~ and domidl~ tn th~ ShN af Horl~.
p~t hsr~ any pertinsnt fsct:, sud~ as sale of properry or bu:ineu, or mlinqui~menYof anploym~nt
( at fcrmsr domkile, removal of family to naw domidle, purchase of har~e, Nc.) ~
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. - Bstablishiag seiideac~ .
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IIEED AND RE~ORDED . - . . . . ~
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ROGER POITRAS CIERK ~ * - .
ST. LB~IE ~OUNTY. F~LORIOA . H
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; . p~Y Wffh atl otfisr r~quirwrMnb of i Ip~l ~wld~tt of Nt4 Stat~. i
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i 1 RJRTHER CERTIFY th~t I hsve no intention to return ro my formsr domidl~, and 1 int~nd to r~rrwin in fORT ~
~ PIERC~ SAlNT WCIE COUMY, FLORIDA, permsnently. ~ '
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~'~~''GC~pC,~p~liid wb~uib.d b.for. m. this 12th ~ebruu~ 19 bs. i
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~OOER ~WTR/1:
C~GHT_ ~ ~k ~
~ efl - D.C: My Co~rMNs~bn ~xpira
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. ~Ti i» ~oacM~ M~CM~ a~ «i~M~11N~i wilb CINk CbaiM Gw~, awi ~NaN vrM~ Tiac A~~a ~
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