HomeMy WebLinkAbout1810 ~ ~
o~claratlon ot Do~nIc11• a~d Cit~~nship ~ 133,?`~,~,s
TO TNE STATE AND COUNTY TAX ~~SSESSOR. '
ST. tUC1E COUNTY. FLORIOA: '
Thb is .
my detluation of Oomicil~ and Giti~nship in th~ St~t~ of Fiorida fhaf 1 am fili~q fhii day in aooord~no~ and
in ooniormity with GhaptK 2Z2, S~ction 222.17, Florida Statute~. .
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~ wa: form.f~y a tes.1 rostd.nr of Ch~lotte • North Csrolina j
, ' (Cty) ~
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«~d ~ ~ded at ?008 *.tf~swceAlbemarle Road ~ ~w ~ ~
(Stteet and NumbK) ~
b a~d am Md haw bMn • bona fids resident of the Stat~ of Florida st~a 15 ~ ~y ~
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~ ~ Novembtr 1964 ~ at 2511 S~ ~3th St=eet '
: . (Stre~t and Number) .
l~ORT ~C~. S~AINT 111C1! COUNTY, RORIDA
and thia sht~ment is ro bs taken as my dedar~tion of citizsn:hip, actual le4al residenw and domkile in th~ Shtr af Hortda.
pnss?t here any pertinent facts, wch as sale of properry or businsu, ~cr mlinqui~m~nt'of employRr~nt
at former domkile, rsnwval of family to nev~r domicile, purchase of horr~s, etc.?
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Bstablishieg resiaenc. : FttED AND RECOROED
~ OOK ~ '
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. 1965 F'EB 12 PM 1: 22
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=10GER POtTRAS. CtERX }
,,•=2~~!:.;....,` lllClE COUN1T. FlBRIQA >
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~ fur~ cfRnFlr th.r ~ wn~ oo~r with sl~ atwr nqur~a of . Ip~l n`Id.m af thls sht~. `
~ FURTHER CERTIFY that 1 hsve no intention to retum to my former domicjle, and t intsnd to remain in fORT
PIERCE, SJUNT LUCIE COUNTY, FLORIDA, permanently. ~
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E ~ ' • ' Msrtia P. Scbiller
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J 12 Februar . 65 `
~ .~Ilatt t~~+nd= wb~atb~d b~~on m~ thk day ot ~ 19
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COtIRT p~k
efl ~:C. My Gonxnistion ~xpt~ ~
1T~ M~oaaNd fw ~NsaN a~ Ni~i~ai Al~i wbM Ci~ek ClraiN Cwe~, a~d ~fic~N wNh Tix A~~~
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~ eo~~ 111 ~~c~ 6