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HomeMy WebLinkAbout2233 . ......r.._.._ . . ' ~ , ~ , ~ecla~atton ot Domicit• a~~! Cilisenship 13352~.~ ~ TO THE STATE Ml~ COUNTY TAX I~SSESSOR, ' ! n. wc~E cour,nr, aoR~o~: • i' i This is my d~cluation of Oomicile ~nd Giti~e~uhip in th~ St~ts of Horida that 1 am filinq thi: d~y in ~ooorrl~na ~nd ! In aonformly with Chaptsr 2Z2. Section 2Z~.17, Florida Ststutes. ~ ~ ~ W~s ~ ~ $nglewood New Jersc~ : y e~al mtldent of (~iry) (St~t~) ~ ~ . ; 388 Curr~ Avenue ; and 1 raldsd ~t Howew? t h~ve chanqad my domldl~ ~ . (Stroet ~nd Number) _ ! . t b a~+d am ~nd haw bssn • bo~a fids r~ident of tM Stats of Florida tir?o~ 7 day of ~ ~ PeDruary 65 3726 St ~fc Marks Ro~d ± , 19 , and I rotid~ at j (Strest and Number) ~ S MRT M~C~. S~AINT IUCtE COUMY, RORIDA ~ ; and thls statemMt is to bs t~ke~ as my declaration of citizenship, sctual lepai residenos and domicile in ths Shts of Fforid~. i ' i pns~rt h~n any pertinent fects, wch e: afe of prope?ty or bustness, or mlinqulshmsnt of employn~nt ~ ~t former domicils, removal of family to naw domidle, purchesa of hame, et~c.) R, ` . 0~ : ~ ~ ' ~ • ~'h~ ` ~ . ~•~f ~ v i J ~ z ~ Z r ~ . ~ ' . . ~ . . r ' ~ . . ~•O~Na~...~~•r . Bntering ehildren in Tth Grade ia 4th Gr~de 1335~'~ ~ . RECO ~ ED ~ l96SF~ 23 ~~K ~ ~ R~~ER p Rh lr: Zo 3t. tUCI~ COUNTr F~~ ER~! - R1DA f fl1RTHER G~RTtFY thst I will aomply wMh all othK rpuTr~nsnb of • Ispal resldsnt of thb State. 1 FURTHER CERTIFY that I hsve no intention to retum to my former domtc3ie, and I intend to remsin in fORT ~ ~ ~j"M~ciE cour~nr, ~oaioA, ~~,tiy. ~ x~~..~,; !t . . : i;~= , ~ - r = . • . . . . (Namej . , , . , Catberne M. Murphy t1E ~p . ' Sw~n ~o.nd u,bscrtb«~~b.for• m~ ihts 23 ~y ~ Pebru~r~ 19 65 - . i RO~'i~ ~OITRA~ ~ ~ Q~RK COURT Notary Pubik i (:G«` G-c~~~ t Sf? ~ C. My C«nmtssion sxptns . (T~ 6~ ~aM~d f~ d~Nea~ a~d ~isinal At~d wMb Cfwlc CiraiM Gw~, aa~i d~lic~N wNl~ Ti~c A~ra . ~ ' ~ - ~oR~ 1~.1 r~cc 42~ , - I 1, , ;_s . - - ~ , ~ - . - . _ .