HomeMy WebLinkAbout2283 Decfaratton ot Domicil• and Citisenship
TO THE STATE AND GOUNTY TAX ASSESSOR, ' 133556
ST. ltJC1E COUNTY, FLORIDA; ~
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Thia i~ my dacl~r~tion of Oomicits and Citizenship in ths State of Plorlda that 1~m fitirq thi: day in aooordana and ;
ln conformity with Chsptar 2Z2. Settion~ 222.17, Florids Statutes.
1 was formxly a lapal rosident of Tn re n to Can adn ;
(City) (Sta»)
504 Pharmacq A,xe. !
u~d 1 rosided at ~ . Howevsr i havs chs~psd my domidle
. (Street and Numbe~)
i
1a ~nd am ~nd have bsen a bon~ fids ~e:ident of the State of floride sinos dsy of +
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` Au ~Uit 19 60
, and 1 ~eside at 1702 Cortez Ave. ~
(Strset and Number) €
l~OR~ M~C~ SAINT LUCIE COUNTY, RORIDA i
and this statemsnt ii to be taken aa my declaration of citize~ship, actual la9at residence and domidle in the Stete of Horida. ~
(Insert here any pertinent fects, such aa sala of prope?ty or business, or relinqui~me~t of employment ;
at former domidls, removal of family to new domicile, purchase of home, ett.) ~
~
~ t
t
8st~blishing residenc~ i
3
133556 . . ~
U AND RECORDED . : o . ~
f IlE , ~900K . . ~ : • . - ~
IN_.~'u~a~-~R~e = : . : :
~ 3 PM 4: 30 : . : ~ - N ~ }
1965 FEB 2 . : " ~ ~ '
:r~~t~ - •
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ROGER POITRAS. CIERK ~ ; ;
St. LUCIE COUNtY fIORIDA oj•., t-:a:•',a ~
. ~ n ~
~ ' ~
f FURTHER C'ERTIFY that 1 wlll oomply wNh aii other nqutrements of • lpal resldent of thts Stete.
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. 1 FURTHER CERTIFY that 1 have no intention b retum to my former domicjte, and t intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FL~RIDA, permanently. :
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~Sw~n ro ~nd wbsuibsd befort n,~ thts 23rd ~y ~ Pebruar~ ~~q 65
~ ROG~ ~OITRAt _ ;
' GRCUR Notary Pubik ;
a.c..l~G `Z~ '
D.C. My Commiuion ~xpins ~
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~ (T~ Iw ~aa~l i~ drpficMr aed ~i~iw~l Ctna~if ~ud d~pliaN wtN~ Tax A~er,?
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' 80:t ~1 FACE~
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