HomeMy WebLinkAbout2127 v.; • : ~
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D~la~atla?~ ot Dornicfl~ and Citis~nship 'y
1334:4
TO TI~IE ST/lTE ANO C'OUNTY TAX ASSESSOR, ' ~
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ST. ltJC1E COUNYY. fLORIWI: , ~
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This 1~ m~r d~d~ntbn of Domicils and C1ti~nihip i~ th~ St~t~ of Fiorida that 1 am Hlin~ thi~ d~y in aooordano~ and
in aonformtty with Chapter 22?, Ssction 224.1~. florkla Statut~. , . .
i wa: forn?srly a Ipal ~id~+t of B ittQingham • Al~.
' (CIb) tSt+t~)
~+d f n~sided at 1151 18th ave South ~w~ ~
, n~d my domidl~
(Sir~st ~nd Numb~~)
! b~nd im and h~w bs~n a bona fid~ ro:id~nt of the Stab of Fto?ids sina 19th ~y ~ j
1 . ~
_ Pebruarq , 19 6~~ i~~ a~ 301 ~sy Strett ~
. (Strest ~nd Numbsr)
l~ORT M~, iAprT LUCIE COUNTY, RORiOA
and thls statemsnt ls to bs taken ss my dxlaration of citizenship, actual ipai raidenos. ~nd domidle in th~ Sta» of florid~.
pnsert here any pe~tinsnt facfs, such as ~le of property or bu:iness, or mlinquithment'of ~mplloymsnt ~
at former domidis, romoval of family ro new domicile, purchass of home, etcJ • ~
~ 1334`74
Entering ctiild in scbool ,~llffl A~p ~~0 ~ _
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~ ~v~t ~o4Z B~4K ~
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~`;•'y~ ~ ~ 22 AM 10: ~ 9 -
_ : • ~ ~ ; ROGER POIt
~ : ~ • i_ ; St. tUCIE COUNtY FIORJ~
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COfl1~r ~ O~FfN' ~M~{i~frfll~ftis O~ a~ fM{dNlf O~ ~t ~1r.
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t FURTHER CERTIFY that I hsvs no intention to mtum to my formsr domidi~, and 1 intend to remain In fORT
~ PIEitC~ S~INT'ttlC'IE, COUNtY, FLORIDA, permanently. t
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I = . ~ ; ` . . ~
: a ; " ' ~ ; ~ ~ John S~°x~o~n ,
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22nd
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Sworn b~nd wbsc~Ib~d b~for~ m~ M~is ~~j day of Aeb~I••~=v ~ 19,bSi ;
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RQaER ~OfiRA~ ,
CIRCUIT COIIRY • p~k ~
~'`'~'~'L ~ O G. My Canmit~lon ~xpi~
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