Loading...
HomeMy WebLinkAbout1818 . ~ 1~ ~ . ~ D~cluatian ot Oomlall• and CitizMShip j' TO THE STATE AND GOUNTY TAX ASSESSOR, . . . 13~~ ST. lUC1E C~OtJNTY. FIORID/1: • Yhii u mp d~du~tiQn of Domidl~ ~nd Cifl~nsl?ip In 111~ StaN of Horida thaf I am filinq ~his day in ~ooorda~a and i~ conto~mify with Ch~pNr 422, S~ttbn 222.17. Flalda St~tutu. ' . , i 1 was formKly a Ipal ~id~n~ of Sprinqdale Ohio ~ ~ (City) (St~b) ~ ~ and 1~1dsd at 6?2 ~loverdale Ave. ~K ~~w ~ . d+.~.a ~ada 1 (Stnet and Numb~?) , ; ~ t { b and am a~d hiw be~n • bona fid~ ~ide~t of th~ Stat~ of florida ~ino~ 7th ~y ~ + F • I Japusr~ t9 6S, •nd ~ rosWs ar Rt . 2 Beg s91o s~ba~ti~e Rd ~ . • (Sh~t se~d Numb~r) l~O~T NERp, f~A1NT LUGi WUNTY, RORIDA and this st~hrn~nt is to be taken as my declswtion of dtiunship, actual Ipal ~~std~na ~nd domidl~ in th~ Sfa1~ of Hortd~. ~ ~ s pnsut here any pe~tinent facfs, such as sale of property or buslnsss, or rotinquish~ifsnt'of fmplayn~nt ~ ~t formsr domicile, ~emoval of family to new domicils, purchase of home, ~tc.) ~ Bstablishin~ residency ; _ . , _ ; ~ ~133282 ~ . , . ~~~p ~D~ _ ~ . ; , I~. . ~ ~~~I~t~~M~~I , . ~ _._.~._~oaK „ 1 . ^ I~` ~ 47 ' 9 ` ~ • ~ . 1965fEa I2 PM Z: ` ~ ~ . + A, _ :*;w~ ~ ~ R06ER POITRAS. l~.ER~t ~ ' ' ' = ~ =T. LUC1E COUNTY, Fl~RtO . • ' - = :'L-~'. - ~ : ~ :o r j . d~;/tJ ~ ~r f 'Gi', O wN , / ; ~s..y~~• 3 _ ~ . '''~~~,,,,t~,u,~ - + . ; i ~ fVw~r~GR ~r¦ ~t ~ w,~l ~y ~ W(~f ~~.w.~w.,i ~ ~ ~ ~NI{i~fl~ ~ ~ ~71.~ ' • I FURTHER CERTIFY that 1 hsve no intsntion to retum to my formsr domidls, end I intend to rematn in FORT ~ PtERCE, SAItVT UKIE COtJNTY, FLORIDA, psrmanently. . ~~~~~u~~~u.,,, - ~ C J~! . G~: ~OG'~, . , : 'c;• :9~; i_ •y V~: s'i`G~:~ ~ ~tva i = ; ; ' ' ~ ~ : ~ Lir,rence Brvin Sr. ' ; ~ s~ ; ` '1'^; ' _ ~ ~ ~ _ = - : ~ - : i s ~ ' ~ r• r: . . • ic . &ina Br~n"~ - ~ ~ UC ......G~ . ~E~~~~~~~`'~~~,` ~ ",,,d ~ ~ ~ 12th ~y ~ Februarp ~ ~q~~ i ~ ~ ~ ~R ~Y Notary Publk ~ Q"`- '~O~`'~-~ D C. My Cornr~{:sio~ ~xptns ~ ~T~ w bactil~i i~ ~1{caN a~i ~i~~l AI~ wMl~ Ct«k CMr+~M Gw~, a~ ~N~w wMl~ Toc A~ra ~ ~ - 6~~ ~ 111 r~E 14