HomeMy WebLinkAbout1026 aecla~atlon ot ~omicile a~d Citizenship ~
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TO TH~ STATE AND COUNTY TAX ASSESSOR, ~5~~ ~
~ Sl. LUCIE COUNTY, FlORIDA: y
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This is my detlaration of Oomicile and Citize~ship in the State of Florida that 1 am filinQ this day in aoo~rda~ce and
in conformiry with Chapter 222, Section 222.)7, Florida Statutes.
I was formerly a legal residant of ~'~kfYeld; iifl8consiII
(City) (Stah)
and i ~esidad at ~~565 Nort.h Calhonn ltoad . However I have changed my domidle
(Street end Number)
to and am and hsve been a bona fide resident of the State of Florida since ~ dsy af
danuary 67 303 ~T. lrbon~ ~ve. - Riv~a~ Park ~
- - , 19 , and I re:ide at ;
_ (Sheet and Number) `
i
FORT PIERCE, SAiNT LUCIE COUNTY, RORI~A
and this statement is to be taken as my declaration of citi=enship, actual legal residencs and damicils in the State of Horida.
(Insert here any pertinent fads, such as sale of property or business, or relinquiahment of employment
at former domitile, ?emoval of family to new domicile, purchase of home, ett.)
Ht}'~STF.~D Pt1AP0.SES ~
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• ~ FtLED AND RECORO~D
ST. l.UCIE COUNTY. FLA.
REC RO VERIFIED
.~SZ1S8
'61 J~'~~1 25 P~! 3: 33
...i~-~'~(~'Q`G.~L'G~'-
~OGf~R i'OiTR~S -
~ ~ CLERK CIRCUIT CO~RT
Y
~ 1 FURTHER CERTIFY that 1 will comply with sll other ~equiremenh of a Iaqal resident of thi: Stste.
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' I FURTHER CERTtFY that I have no intention to retum to my former domiple, and I intend to remain in FORT
i
~ PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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' ,;,;,a~~~i++::.;.f (Name) NrB. NoT3.ne R. McQurg
''~c~~,;'~' ..L0~194~~-,. .
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• ,.~'~r~~.-~ ~ 303 W. Ax'bor ~ve., %ver Park-Ft.Pierce
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_ i ~ t.
~
' ? ..1 (Address)
J ~r ~ ! . ~ll • .
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'•Sw~~~~}buribed before me this ~5~ day of ~ Janual'y ~ 1967
, (
• !~fl. ~•E' ~ ~O ~
. ,
ROGER rORRAS .
CLERK CI R COURT Nofary Public
.
ey D.C. My Commiuion expires
(To b~ ~c~euNd in duplisats and ori~inal Rl~d wi~l~ Clarit Gra~i! Carr1, and dupliuf~ witb Tax A~s~or.)
, _ - _~1fi4 ~~025
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