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Home My WebLink About2725 ~ . . . ~ - i ~ ~ • ~ ~ O~rcla~atian of Domieil+r a~d CltisMShip ~ ~ ~ ~ YO '1'l1E STATE ANd COINr'1'Y TAX ~?SSESSOR, 'l~~a~~'a~ - ~ • t j .~iT. UJdE QOIINTY. FIORIDA: _ i , ~ Thfs I: my d+daration of Domkil~ a~d Citi~nshlp th~ St~t~ of Haida ~hat 1 am Rlinp Ihh d~y In ~aoordano~ ~nd In conformity with Chap~ 222. S~ctan 222.17, f~lorida 5t~tut~s. - . . , ~ : ~ ~ Zew d~ree~ ~ _ ! was formutr a ipal ~id~nt of Bl~C~If00d ; (Cth) l5tat~') : ~ - - ,nd ~~std~d at 144 Cleaeatoa Roal! Hmw~w? ~ h,w. ch„q.d n,y danidlo ~ (StrMt and Numb~r) b and am and haw bwn a bor~~ fid~ resident of the Stah of Florida ~l~os 16th ~y ~ _ , ~9~.. .~,a i ~~d..r 908 Flood aoad (StrMt and NumbK) ' ; l~ORT MERCE. SAINT ltK1E COUNTY, RORIDA ; and this :tat~rr~t i= to b~ taken as my declara~tion of dtiur~shlp, actual leqal rsaldenw ~ntl cbmkil~ In thr 5h1ir of pa'id~. ~ (lnserf ~e sny p~rtinent #acts, such as ~!e o~ propsrty or business, or niinqu{shnwnf of empk~ymMt ~ st former domidie, rsmovel of family b new domicile, purchsse of home, ~tc.) : . ~atering ohildren 1n e ch~ol ~ _ • ~ . , ~ ;i'~~iSJ . . . ' ,`H~~~~ii111~~i~,~~ f , CpR ED v ~r 0 ~~~i~ , ~ , . o G.. Y.'', ~~~1~r~ Rls.v pOK . = ~~~yJV , ~4 ~ ~ ~ ~ . ~ = S~~-~ : o = . 1965 MAY -7 PM 12: 43 . ; ~..~+~:::tt'.~~ ~ ~ ~ ~ z , : ' ROGER P~ITRAS. C1ERK , _ _ ~ ? ~ ST. LUCIE COUNIY. ~IORIDA . , ~U , ; . Cr ~ ' . . ` • ~ ~~~~~+e~n~~~~?•r• i • 1 RlRTHER CERi'IFY that I wil! oompiy vwith ~11 oNwr nc~uir~nb of • tp~l raid~t of tfib Sb~. I FURTHER CERTIFY that I have no intention to return to my formsr domkii~, and I intend to remain in PORT ; PiERCE, SAINT ~Cl~, ~OUNTY, FIORlDA, perrrwnently. ( . ~~GV~,~ i ~ , : O `•r ~ ~ V\~~rjy~,~ r~ A~r'~ ' . ~ : ~ !.S/n . , v ~~;.;.r! ~ , p.: , _ Beverl y~Fay~: Sharp 4 • ,•5 ~ G ~ ~ - ~ _ 1 m. ` ' , - ~~Q . p.~ ~ (I1dd ) j ~,f~i~~(/~' ~ ` ~Q3i . G4~• 3 ~''~•~,?inn~~~~'",` ~ ' ~ 19^_. s~+ ro.~ w~~~ m. 7th ~Y ~ T 65 CIRCU CMlRT ~ Notary A~blk ` , .~Q'Orc~-~: ~ o.c. Mr c«~~+ ~an. ~ ~0~ ~~7 ~ . , . Rs M a~.w~.el M~Ncat~ a~d ~ei~t~l Hird wi11~ Cl~aic Ckc~ril C~w~, awd ~rpNul~ wNb Taac 11~~,i - _ ...,~.~~.._.y.....~,.--.