HomeMy WebLinkAbout1995 " MN•• _ _ _ _ _ . . .
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Oecla~ation ot Domiclle and Citizenship 13339s ~
TO TME STATE AND COUNTY TAX ASSESSOR, ~ •
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ST, ~tK1E ~OIJNTY, RORIDA: ~
This is m declarstion of Domicile and Citizenship in ths St~te of Flaids that I am filinq this day in ~aoo~dana and ~
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• in aonformity with Chepter 22~. Secfion 222.1T, Florida Statuta. • i
i was formerly a ~eqal reside~t of PompnaQ ggach ~ p...~=ida
(City) tSf~») . ,
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Breez~ Hill Trailer Park ~
and 1 rosided at - Howewi 1 haw ch~rqed my domW~a 1
(SKeet and Numbsr) ~
b and ~m and have been a bons fide msident of the State of Florida :1noe ~Y ~
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~ ~ ~u ly . ~ q 63 ~ Rou te 3 Box 108 ~
. and 1 roside at ~
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~ORT r1QCE, SAINT lUC1E COUNTY, RORI~A
and this statement is to be taken as my declaration of citizenship, edual legal residsnos and domidle in ths Stat~ of Horida. ~
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(Insert here any pr~tinent fact:, such as sale of propery or business, or ~elinqui~ment~of employms+~t ~
at former domicile, removal of family to new domicile, purchase of ~~ane, etc.) '
13339s
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. 11~! ~aND RF~p~~~ #
Establishi n residence ~~"`~f-, .~G~K
g 196S ~
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SRO f ~plTRqs. ~
~U,ITr, flOR10~
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~ ~`l~IJRTHER CERTIFY that I wiil aompfy with ~il atl~ nquinn~nf~ of ~~Ip~l rald~nt of this Stat~. ~ ~
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' %`l.~. ~~fURTH~k,CERTIF.Y that i heve no intention to retum to my former domicjle, end I intend to remaln in FORT j
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: PIERCE,''SAINT Ll~Clf COUNTY, FLORIDA, permanently.
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~ Merrill C. Stewart
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U?dd~s)
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~ Sworn to and svbscribsd before me tfiis _ 17 day FebrLar~_ , 19_bS.
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ROG~t rORRAS
CIRt~lR COURT Notary Publk ~
L~../~~c~cL~
~ D.C. My Canmis~io~ expi~
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tT. b. .x.e~a t~ dupNcaM .nd .ei~iw~l tii~d wbM d.rk araiM . Taoc /1~......a