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Home My WebLink About0714 ~ ~r • d y~ ~I? ~.1~*.~~5~ • •v,.L .K!~ - ' - • - ~ . . ti - . ~ . t D ~ aecls~llon ot Domicil~ an~d Citi~censhlp . ; _ ! T'O TF~ STATE Mla COUN1'Y TA~C I~S'~i50R, ~ ;~,a~~a~? t:~ ~ ~ St'. ttJCtE COtJNTtr. FLORtWt: j ~ • ~ ~ Thb is n~y d~daratlon of OomkJ(e anc! Qti~nship M thf Stah of fbrida that 1 am filin~ thh day in ~omnda~a ind ~ i~ oor+t~a?~ihr wilh Chirpt~? 722, 5aetiaww ZY1.17, Horicla S~Nuhs. ~ , ~ 1 wat forn~lr a ipal rrsld~nt of pALA,T INS I 11. ; ~~H~ ~ ~ ~ ~ ' ZO11 K. BaaDnry Rd ?nd ! rald~d ~t ' . Movwv~ 1 hav~ ci+anq~d n+Y don+kl~ ; ~Sh~t ar~d Numb~s) ~ ~ t~o ind am and ha~ bsen a bo~a fid~ retldtnt of the Stat~ of Florida sinoe lOth " ~~~~r 3503 3. Indian Ri~er Dr. ~ ' 19 64 ,~nd 1 resicl~ N - ~ ; t5tr~ ard Nu+rbe~ : . ~ PORT S~AINt tUCtE C01lNTY. ROR~A ~ a~d this stalwm~nt ts to hw takM as my dederation of titi~rnship, aC1v~l ip~l rOSiCllfflps i~d Cbnlidl~ in tM SR~f~ Of HOrrid~. pnart here any psrti~t facts, w~h as sale of property or bu~iness. or relir~quit~t of ampioym~M at forrnK domidt~, re~r~ovai of family 4o new domic;le, purchass of hame, etr.) ; ; . Filia~ for Ho~stead parpaaes ' • ~ 1343'~ . . f ~ ~ ~Q BQOK , . ~ . 26 ~ ~a' 4 a. . , ~ ~ - ~ ` ~ ; ~ oa~'~•• ~ ~ 196~ ~ ~ • ~ ' C ~ °~w " '•~i A : t ` • ' ~V~ ~ iw i ~ ~ ~ r R°~ c~ couH~Y ~ f 1.aA10A % a~"'c : v~: s : : ~s~,~ . ~ ' ? ~ ~ - . ~ ° ~ , ' ~~i ~ l/n~~3`,,..~. . . ~~~~~r........~.• I FtlRTHER C~RTIFY thst 1 wilt eanply with ail ~ther roquinPrNnb of a leqai ro~ldent of this Stat~. ; 1 FURTFtER !CERTl~Y•that t have no in~ention 1o retum b my former domic.ile, and I internd t~o rsmsin ira FORT : ~ PtEltCE, SAINT LUCfE tOUNTY, FLORfDA, permanentiy. 1 ~ ; ~ ~ ~ Y ~ ~ (I~isme) ~ ~ r . ~ , r' SAMUBi, I~. TRUD~B t Fr : 's . A . . ~ -i •(j ~e ~ .i • . ~ , , ~ tAddr~ss) . . - ~ ~ ~v ~ ~ t ' ~ • • abth ~ ~ Itarch ~ ' h t l~~o?n ~ and s~saib~d b~ir~a ++roe thh ~ q 6 S ROS~ ~~+O~fR/tf Natary P~tk . ; ~'f? D.C. N?~r Comirrlssbn ~xptrs~ R~ bo ~ac~qrlyd iw d~prM~a~s awd ~ M~d wbtt C1~+t G~ Gwf, a~1 dupikat~ wbb Y~oc A~r.} - . 80UK~~ ~