HomeMy WebLinkAbout2241 . . _ . . R
Decla~~tion ot Domtcll• a~d Citisenshlp .L33~?32
TO TN~ STATE AND COIJNTY TAX ASSESSOR, '
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ST. WCIE tOUNTY, fIORiDA: ~
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Thts is my d~claration of Oomicife and Citls~nihip in th~ Staro of Florid~ that 1 am filinp thia day !n iooordana and 3
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in oanformity wifh Cfiapter ~Z2. Sectio~ 222.17, Florida Statutes. ~
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1 was formsrly • le~~l ~esids~t of Jerseq ~ity N Jersey ;
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(City) (Stat~) ;
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and 1 r~sided at 97T Summit Ave. , How~vK 1 hav~ dwrqsd my domidt~ ~
(Stnst and Numbsr)
b and am and h~w b~sn a bona fid~ rosident of the Stab of Florida dna 1 S#h d~y of t ~
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Oct. ~ ~ q 64, at Rt 2 Box 120 Old Dixie Hi-wa~ ~
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~ ~ERC~ i/M~ ~~Wi N/~n..~ ~VR~YA i
and this statement is to bs taken as my declaration of citizenship, actual le~al r~idenos and domidls in ths State of Horida. `
~ Qnsert her~ any pertinsr~t fads, such as ssle of propert~r or bustness, or relinquishment of employm~nt
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at former danictts, removai of family to new domicils, purchase of hotr~e, etc.)
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Bstablishiag residency . ;
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~ ~ ~ ~ 1965 FEB 23 PM I : 32 ~ ~ '
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. ROGER POITRAS, CLERK ~ ~ ; ~
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~ST. LUCIE COUHTY, FLORI A Q ' ~
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- t RIRTHER G~T~FY that 1 w1ll oomply w!t!~ a!! other requirerr~np of a Ip~l nsid~nt of thb Statt.
' 1 FURTHER CERTIFY thet I have no intention to retum to my former domidle, end 1 intend to ~emsin In FORT {
PIERCE, SAINT UKIE COUMY, FLORIDA, permanently. t
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: . i Edward J_ Gateson,
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t (Addrest)
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23rd Peb. 65
~ Sworn ro~nd wbsuibsd befors m~ this day of 19 .
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CtRC R COtlRT Notary Publk ~
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(T. b~ .o~.w»d M d~plica~. «~d Kioi~al f~d ,~hM a.~k cMaii~ Cwe~, .~a d~k+.~. arill~ Ta~c A...M..a ~ .
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