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HomeMy WebLinkAbout0295 w ~ , r . ~ i.' N~~ ~e~ ? i!-~ iM S+e . ! . . ~ . . ,r~ ~ r~r ~ L.L~+a . , . ~ • ~ - v yiyx ~'Wir?yl~Id.~~%-..ma.r-,a. ~ ~ . . cr~r~t~a+i o~r oa?m~an• ~id C~s.~sb~p? _ 13~131 - . 1~ 1'1!~ STAI"E AND OOLIN'IY TAX ASS~SSOR, ~?'t, ltIC1E CXat1N1'Y. ftORtDA: . Thk h yrqr d~darstbn of Oanicil~ a~d Citi~+:hip i~ tM Ststr of Florida lhat 1 aen filinp M?b dny in ~e+aordirio~ and le~ aon~o?Tihr wMh CMphr Sic~ion 21Z.17, florid~ StstuNt. ~ i was forrtwrip a IpN naid~t af ~~yl~011JR 1~1~M J'!ti@~' ; . Ks1y} {StN~ : ~ .E . ; and i r«Id~d ~t Z7 Yillise Laa! Howr+r~ 1 haw ch~rq~d my domk~ . i~r~t ~r~d ~ NuntibM') ~ _ ~ b~nd am.~d Mv~ bMn • ba~a fiel~ e~aida~?t of taw St~t~ af Florida ~ina ~ lit # i • . ~ , . i ~ _ Jtily ,~9_~ and I ra~id~ ~t 220 ~li~a 3t~ f . ZStrMt andNunnbw) liORT l1~. fA1NT ~~tIC1E GOilN1'Y, lLO~A ; and thb stahrr~?t b~? 6s t~k~r?~ ~s my dedsratbn of atiz~nship~ actuai Ipat r~sidsnca and domidl~ In tlN 5fah o~ FNoHe~. . i {l~ert h~nt a~y p~rtin~nt facts, such ~s sile of pr~apsrty or lwsin~s, ar rolinqui~xn~t of ~mpioyn~+t at iwrm~r domicile, rsri~o~vsi o~ famii~r to n~w domicil~, pwcha~ af hon~e. Nc,) • } ; ; ~ ~ 1~eM Donic3 ~ ~ i . ~ ~34i31 . F r . ~ . ' - , ~ ~ ~ w~ . p ~ ~ " ! • ~i - ' ~ ~ F~ • r~ • ` _ i ~oYl~ • ~ . J,'~ ~ ,S~ ' ~ ~ . .4 :r= ~ , . 1965 ~IAR 18 • : . . ^ ro:'2 :•~:~r ' : H= ~ . V~ ~ • ? ~ i ~ ROGER POITRAS. C~ERIt ~~~o'` ~ _ .;v....,~;~;..• • - ST. IUCIE COUNTY. FlAR1~A ~ ' ~ :,~?'r.,~ ~ n ~ • , 3 1 FUR'THER C~itTIFY Mrt t will t~orr~ply wh4t al) o1hs~ e~rquirwr~nb qf • lap~l ~widrnt of !hb Sfat~, t fURTHER ~RTlFl'• that f tuw ra t±st~ntian to retum ta rrry former domi~il~, and 1 iritsnd t~ ~fn in FORT PiERCf, S~AINT U1Ct~ COUNTY, FLORIDA, psrmansnNy. c~~;'~ t ~r i~~ , ~ " ; s ~ c~•~ ~ • • . ; .a-d . . ~ " , ~ no~aali ke11~s - .'~tJ' ...•a . . ~ti'~ ~ . : Sw~n eo and ~bscrib.d b.tor~ m. thb th KarCh 19 65-- ! 3 i{ i I ~ ~ ' ' . AiRK ~OOIIRT ~ N~hy ~ pvWk ~ • ~'11 ~ D.C. I My Ca~eeisti~r asp~?« ~ (Ti 1~ ~oaseaNd iN ~ sMt ai~i ~11 wt1l~ C'frlc q~it C~re+1, aid dr~k~M w~ Ta~ A~f.j ~ ~ - - ~K 1.~.3 . - - _