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Declorotion of Domic~ie and Citizenship
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TO THE STAT~ AND COUNTY TAR rA3S~3S0It, _
St. Lucie apUNTy, gLpRIDA;
Thia ia my declststion of Domicile and Cit3zenahip in the State oi Fiorida that I am ~ilin~ tbis dsY in
aucoxdance, and in conformity wit2~ Chapter 222, Section 222.17, Florida Stata~tes.
I~waa iormer~? a le~al r~sident of._~_Wildwood__Crest __~w J.grsey_--
(c~a) (sase)
attd I re~ided a~-----S509__Atlantie Av~n~ However. I haYe changed my domicile
(Sirest and Nnmbet)
to and am and have been a bona flde resident of the State of Florida since.. __3~~t _..--_.-_-.-_-._-___daY of
---~_'~~h- 19_66 , and I reaide at--__ 3~6 ~~~4~a Str~et _ -
(strcet .nd Numbsr)
____Fort Pieree _ St.__ Lucie ~._County. Florida,
~ ' (City)
and this atatement is to be tsken as my declaration of ci~izenship, actual tegal residence and domicile in
the State of Florida. ~ -
(Iaaert hers anY Pertinent facts. auch as sale oi~pro~hase a~
~o~r~lin9nisLmeat at eaoDlcYmeat st
iormer domicile. remo.sl oi i~mil~ to new domic~e. pnrc )
Purehased the follpwing described real property:
I,at 24, Bloek 8 of Fort Pierce Subdivision as
per plat fihereof on file in Plat Book~8, at
page 29, of the public reeords of St. Lucie Coiurt.y,
Florida.
located at 356 Granada Street, Fort Pierce, Beaeh, Florida,
and reside therein.
William Robart and Rose Robart, his wife ~ -
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Fti.E^ AND REGOR~EO - - -
ST. LUCfE COUNTY. ~U?.'~
i~ECOR~ VERIFIEQ -
i '66 NOtit Z 3 AM 9: 3 Z - ~
- 1501`7£3
ROvER i•OITRAS - ~
ELERK CIRCUIT COURT 1
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I FURTHEB CE~tTIFY that I will register at my local addresa ~vhen the regietration books reopen,
and oamply with all other requirements of a legal reeident of this State.
I FURT~ER CER,TIFY that I have no intention to return to former domicile, and I intend to remain
~ Fort_Pierce ~ , St. Luci~ -CountY, ori . -
lcit,)
~~~t1Y• ~
_ _ -f------- _
' (N )
~ 356 Granada 5treet
r~
,';`,;.'.~lif;,~+I . ~ - - /-'-,~Y - ~
. ~ YP s~ {AYYicos~
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S~i?a to a~d' ~ub"scribed beiore me this__L~ __day of
_ ~:s . , _
: ~ ~ ~ ; A. D. 1~6 .
•t'. • . V ! a~ . • •
• /f _ •
r -
' . N ~~iblie St~te c~ Florids at Ls~i
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My Commisaion eapirea~_'~` 7-6 9
(To be e=eeated ia a~licate and ori~inal Sted wltb C1e:~t~t~rt,~A~qd d~~e with Ts~t Assessor)
Roao-..n BnoDiv CO.. Piant CIt7. Fia. i~?V ~~t t~,'=
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