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Deciaration ot Dorriiciie and Citizenship -
14~8S
TO THE STATE AND COUNTY TAX ASSESSOR.
51. IUCIE COUNTY, FLORIDA:
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This is my declarotion of Domicile and Citizenship in the State of Florida that 1 am fili~g this day in acoordanoe a~d
in confo~mity with Chapter 222, Section ~ 222.17, Florida Statutes.
I was formerly a legal resident of McArthPr _ ~b;a
~C~ty~ (State)
and I ~esided at _ Rt L_` However I have changed my domitile
(Street and Number)
to and am and have been a- bona fide resident of the State of Fio~ida since _~9~~ day of
December 65 1024 Citrus Ave.,
, 19 and i reside at
(Street and Numbe~)
PORT PIERGE, SAINT tUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, ad~al legal residence and domicile in the State of Horida.
(Insert here any pe~tinent 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.)
~ntering Ronda K Thompson in the lst grade
FILED AND RECORD~D
ST. LUCIE COUNTY. FLA.
RECORD VERIFIED
14'7985
'S6 a!.'~ 26 PM !2:08 -
o~'~
~ i:0 ~E ~t +'Ot7R~S
CLERK CIRCUIT COURT
I FURTHER CERTIFY that I will oomply with all other requirements of a legal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domiti~e, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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- " , ~y . - : (Name)
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. Beatrice I 3ho~pson
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^.'.~Lv~rn to and subscribed before me this 26tb day of Au 8uS t 19 66 .
.
ROGER POITRAS ~
CIRCUIT GOURT Notary Public
gy C°~ ~.C. My Commission expires
(To b~ ~x~cut~d in duplic~ts and ori~insl fil~d with Cl~rlc Circuit Court, ~nd duplicat~ wi~h Tau Aa~ssor.)
600K 153 394 i
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