HomeMy WebLinkAbout2225 ~ - -+Y'rr•~... ~ ~ . _ _
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' o~cla~atio~ ot Domici~~ a~d Clti:e~ship 133521 ~
TO THE STATE ANC COUNTY TAX ASSESSpR, ' ,
Sl. WCIE COUNTY, FLORIDA: !
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Thit i: my decluation of Oomicils and Gitisenihip in the Stet~ of Horida that 1 am filinp this day in aooo?d~nw ~nd ;
!n confwmlty with Chapter 2~2, Ssction ~4Z.17, Florid~ Statutes. ;
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1 was forms~ly a layel ~Ident of LstrChmont Ne~? Yotk f
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and 1~1ded at Chatsworth Gardens ~ ~~w~~~ my ~id~e ~
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b~~d ~m and haw been a bor?a fide ~esident of ths State of Florida since day of ~
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Auaust ~ 19 64, a~ i r~~ at ~ 3113 ~verbrook Dr port St.Lucie ;
(5treet and Numberj ~1ub
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l40RT MERCE. SAtNT tUClE COUN1'Y, RORIDA i
and this statemsnt is to bs teken a: my declsration of citizenship, actuel legal residenos and domidle in ths StaM of Florida. '
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pnsert hero any pertinent facts, such as sale of property or bu:ines:, or relinqui~ment of empiqrmsnt '
st former domkils, removal of family to new domicite, purchsss of home, etc.)
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Bstablishing residency ~
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- - 133521 ~
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FlLEO A~iD RECO ED - ~~'~'~o~ .
IN ~~?a1 R ~800K - ,
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1965 FEB 23 RM 9: 36 , ~ ~ ' ~ ` ' `
ERK . :r~ ' ~ 1^~ ' ` i
ROGEit P017RAS, CI. : y ` : - .
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$1. LUCIE COUhYY, flORiOA , ;
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I FURTHER CgtTIFY that t wtli oompiy with all othar requirertwnts of ~ leaal r+~std~nt of th~ Stata. ~
1 fURTHER CERTIFY that I hsve no intention to return to my former domi~le, pnd I intend to romatn in fORT
+ Pl~RC~ SAlNT LUCIE COUWTI/, fIORIDA, permanently. _
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~~''••G~~F G~ 23r~ Februar~ 6S
'~~~r•&worM'1o end wbsuibsd b~for~ mt thif ~ day of 19
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ROGER ~OITRA: ~
CIRCU COtiRT ~
Notary Publk ;
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dY D C. My c«nmluion .xpi~
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(T~ b~ ~oncw~ iw d~Ncal~ aed oei~iAal Al~d whb CiMk CMwh Gw~, and drptic~t~ wilb Taoc A~~a '
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BJ„K
~ R- 1~~ F~~E421
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