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HomeMy WebLinkAbout1898 M'YM+~!~V~YSl~~.~.als'.~.^ . ~f~+~. - - - - - - . _ ,.,ss~...... - O~claratlon ot Domicile a~d Cttiie~ship . .133335 TO TNE STA?'E ANO C~OtlNTY'TAX ASSESSOR~ - ~i ST. ll1CIE COUNTY. FLORIDA: i ; This is my declaratlon of Domicils and Giti=enship in ths Stati of Flori~a that 1~m filiaq thit day tn aooord~nw ~nd ~ in conformity with Chapter 2~2. Ssction 222.17, Florid~ Statutes. ~ 1 was iormsrly a le~ei ~ssldent of Silvtr LAke ~ Ind (Cth?) (Stat~) ~nd 1 nstded ~t $ox 55 . Hovww. l have dwn~d my domidt~ ~ (Street and Number) i b a~d arrt ~nd havs besin a bons fids resid~nt of the Stete of Florid~ :inos lbth ~y ~ ~ ~ ` September 64 104 Sast Arbor e. ~ , 19 , and 1 ~eside st ~r . (Street and Number) EORT ~IERCE, SAINT LNCIE COtlNTY, R,ORiDA ~ a~d this statement is b be taken as my declaratior? of citi~nahip, actual IeQal ~~idena and domicile in ths Stat~ of Horida. (In:ert here any pertinent facts, such a: sale of propehy or bu:iness, or rolinquishment of employment ~ at former domidle, romoval of family to new domicile, purchase of home, etc.) k ~ i 3 a - ~ Bstablishing residenc~ ~ x 133335 ~ qNp gECO et Ii~OK • o ~ ~ ~ - ~ . : ' 1965fEB IS PM12:~ : , , ~ .s - t_ . ~r• • :r:, itOGER POITRAS. CIERK ~ ' ~ ' . ~ : S1. llICIE COUNt~. FlIR18A , . • a: ~ ~ ~ ~ • : s,:• J ~ ~,~~Oj N~nn,,. * i -.t i n ~ \~//Iflllllll~~\~ - '~•t_ ~ f i - - . . _ ~ ~ S - . .r.:.- ~ 1 RIRTHER i'ER71FY that 1 wlll aompiy with ~II oth~r nqvin~r»nb of a Ipal rpid~M of this Shh. ~ i RJRTHER CERtlFY that 1 have no intention t~o retum to my former domkjle, and 1 intend to rsmain in FORT PIERCE, SI~INT:I~1Gj~ COUNTY, FLORIDA, permsnentfy. ~ . ' CG , ' - ~ ~ _ . . ` •'r ~ 4~. - , i , - : ' , • a~) ~ z 'S~'. - , , ~ _ ~ ~ ~ ~ ~a ~ Ktnnet J Ivins- . m _ ~ : _ : ~ - : ~ : ~v : l~...~ii~.- ~UC :.:.•O . ''~~~h~H EI u~G"``~.~~ `IC rda Y V Zl~ S 15th Februar~ 65 Sworn w and wbscrib~d b~fon m~ thls d~y of 19 ROGER /~ORRAt - COIlRT Not~ry Publk a.~.~Et.G~~R~~. . D.C. My C~orrwr~iuion ucpi~ ; . ~ ~ tT~ b~ ~oo~w~el M dupNcaN a~ ~IOM~I f~d wiN~ CMrI~ Cira* Gwt, and drpi{a» wW~ Taoc A~~~ . 0. R: ~ . eo~~ 111 9~~ i - - _ .