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HomeMy WebLinkAbout0579 , ~ . D~ala~atio~ ot Domicil• antl Cltis~~ship TO THE STATE ANa COUNTY.TAX ASSESSOR, ~ -1Sl~~i S1. lUC1E COUNTY, fIORICA: This i~ my d~cluatlon of Domidle and Cltit~nthip in th~ St~t~ of Norida th~t I am filinp this day in aooorda~ and In oonformity with Chapt~r 2~4. Ssction 444.17, Fiortd~ Statub~. . I wa~ forrt+~~ly ~ Ip~l nsid~nt o~ortage~il].e (Cty) - 15tih3 .nd I rald~d at ~ 2 so: 58 ~ . Hovwvw ~ haw d~a~p~d my danidl~ (Stn~t and NumbK) ro~nd an~ and haw b~+ • bo~~ ficl~ nsid~nt of th~ St~b of Florid~ ilnce b~~ 2~ ' dh? of _ Janu,ars , 196? , and 1 nild~ ~t ~ 3650 ~hits i~1ay~ Dairy A~ad - (StnM a~d NumbK) ro~r n~, sn~ u~u couNr~r, lLORIDA - and thh ~t~»nwnt 1~ to ba t~k~n a~ my d~cl~r~tion of citiz~nihip, aduai ipal ~esid~na and domkih ie th~ Stat~ of Horid~. pnwrf h~n any pKtin~nt f~cb, iuch at ul~ of prop~rty or business. or nlinqui:h~rwnt of ~n+ploynr~t at t~ormK domkil~, nrr?ov~l of family to n~w domidle, purchas~ of fwrn~. ~tcJ ' ~atering children;~~a echool . • ~ ~ fIL,E~ ANQ ~RE~ii ~L~ - ST, I.UCIE COUNI7T ~ RECORa VERiF1~t0'' . . 151882 '6~ JAM i i IW 9 i~0 ROGER POITRAS CLERK CtRCUiT COtlN~ ~ ~ E ~ f - , ' 1 lURTI~lN ClRTIMY th~t 1 w111 oanply with .11 othu nqutn~rwnn of . I~pal n~id~?t af thb Stat~. ~JRT1~t CERTIl~Y th~t 1 h~w ~o tnt~nHon ro nturn ro rriy forrr~er domidl:. and 1 iM~nd to ~i~ i~ PORT 'i~,~ 41i~lE.COUNTY, PLORIDA, p~rm~n~r?Ny. . ~ ~ . ~C . : \q G , • •...,,pG'~.,-i~= ~1:: y ~ ~ ~':`~v_~.: ' ii'G~~ } Lt ~ ' ~ + •.1.,. p : ~ : - ' al.erida Ha7.M~~ . _ :f~ ~ ~ ` ' ~ . - : , ` i : : ~ - . ~~.L ~ ~ . V ~ • ~i ~ : Y : ~F t~. ,`i~4,~~... ..GO.;``~. . (Itiddr'~~ ~ ~-~~''~~'~~s~n~s`~.`~ . _ - ~ - - :~two~n to ~nd wb~atb~,d b~ia~i n+~ th~~ 16t~i_ d~y of Janu~ar4 . 19 67 _ ROOit ~OItR/?i CIRCNIt 1ZP gy ~!,`'iI'G~ - - D.C. My ~~ommtaio~ ~xphrs _ , (Tr M ~rutri~i M~IiMN ~i «iriM11M~ wi~b qN! qewR Cw~~; a~i ~M~M! ~ T~c llw~~e~ - - ~1~ ~ 577 . --9. - - - R W `•t