HomeMy WebLinkAbout2088 ~ .._.,.r........_... . . - ~ ~ 1
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~eClaratlo~ ot Oomicil• and Citlsenship
TO TNE STATE ANO COUNTY TAX ASSESSOR, '
n. ~uaE cou~r, aoRioA: 1339:56 '
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This is ,my d~clar~tion of Oomicile and ~itinsnship in th~ Stat~ of Florid~ that 1 am filinp this day in aooordano~ a~d j
in conformity with Chapter 2??. Sectlo~ ~2~.17, Horida Statutss. ~
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1 w~s formKly • leqal roside~t of White Piains ~ Nev? York
_ . Kity) (Stah)
81 Randolph Road ~ '
~nd t nsld~d ~t HowwK 1 hav~ chanq~d my domidl~ `
(Stnet ~nd Numbsr) ' .
b and am and haw been a bona fkle rodd~nt of t~ State of Florida stna 15 h ~y ,
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A~rii ,~q 64 n 191? Ro~sl Palm Drivt
(Str~t a~d Numbs?)
l~ORT N~C~, SAMIT tUC1E COUNTY. H,ORIDA
and this statemsnt is to bs t~ksn ss my declantion of ciNunship, actual lafpl ~taWeno~ a~d domidl~ in th~ Shb of F{oHda.
(Insut here any pertinsnt fads, such as ~le of property or butinest, or relinqui~rr~t of ~mploym~M
at former domkils, romoval of family to new domidle, purchase of twme, etc.) ~
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_ .133456
Bstablishing residen~~ ~ ECO ~ :
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~ - BOOK ~
~ 1965 FEB I 9 Ph Z; 22 . ~
. ROGER POITRAS ~
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. S1. LUCIE COUNTY. fLORIDA ~
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1 RIRTHER C9tTIFY tlwt 1 will aomply with all otfwr hqutr~nn~nh af • Ip~i ~ident of thl~ ~i~~"~~~'~ v. ~
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1 FURTHER CER7IFY that 1 have no lnfentton to retum 1~ my former domkile, and I intend tdr~~~eel~aitr n~ i
1
PIC~ICE. SIUNT I.UCIE COUNTY, FLORIDA, permanently. ~
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~ . ~ = 19th Februar~ ~ 65
.~~trd;~t+b~uulb~d b~for~ nrw thb day of 19
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. CIRCtMT Ct1tIRT ~uy p~k '
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df? D.C. My C~sdon ~xptr~ . ~
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(ti 1» ~ M drplitaN a~i wi~iw~l ~ wilb CMelc C4r~M Cw~t, aMi ~ ~rNl~ 1rc Ar~w-- i
t , ~o!~R 111 ~28~