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Declaration ot Don~icile and Citizenship 1~3t~25
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FLORIDA:
This is my decla~ation of Domicile and Citize~ship in the Sta~e of Florida that I am filing this day in acco~dance and
in conformity with Chapte~ 222, Settion 222.17, Florida Statutes. '
1 was fo~me~iy a legal resident of p~COmOkQ City _ A1laryl~d
~~;fy~ (State)
and I resided at ?06 ~rkCt However 1 have changed my domic,~le
(Street and Number)
to and am and have been a bona fide ~esident of the State of Florida since .-_____-1? day of
_ Noveober , 19_65 and I res~de at 338 Ashley Street
(St~eet and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actuat legal residence a~d domicile in the State of Horida.
(Inse~t here any pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
8stabl~shing residen¢e ;
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j IN 1 ~ 03 ~rj „tu,;~:~;:,:
, ~ ~ ~ 23 pl~l ~•~~3(~~. ..~~~~~:1--•~~~:~ .a;'~, ~ .
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Ro~E~ ~ E ~DUNTY, o~.,r..,.~
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~ 1 RIRTHER CERTIfY that I will comply with all other requirements of a legal resident of this State.
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1 FURTHER CERTIFlf that I have no intention to return to my former domic,ile, and I intend to remain in FORT f
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PIERCE, SAINT LUCIE COUNTY, FLORlDA, permanently.
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.,,L Z.~ (Name)
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: , a; G D Sutton
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~l~'~t'~~s~(#:subscribed before me this 23 day of Februar y ~q 66
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CLERK Ct UIT COURT Notary Fublic
gy ' D.C. My Commission expi~es
(To b~ pacuhd in duplicah and ori~inal fil~! with Ct~rk Circuit Cour~, and duplicsh with Tax Ait~s~or.)
- BOOK139 97
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