HomeMy WebLinkAbout0063 ~ D~ala~atio~ ot Do~nicil~ and Citiz~nship
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TO THE STATE AND COUNTY TAX ASSFSSOR, ls~~,~
Sl. U1CIE COUNTY, FLORIDA: ~ `
This is my declaration of Oomiule and Ctirsnship in th~ St~» of Florida that 1 am filirq this day in aooordano~ and
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in oonformity with ChaptK 222. Saction ?22.17, Floride Stahita.
1 was formerly a legal rosid~nt of pbiladelehia Ppnn
K~ty) (St~t~)
and 1 rosidsd at ?412 Stenton Axe • - . F~owevK I havi charp~d my domWle
(Street and Numbe~) ~
to and $m and have been a bona fide mtident of the Stats of Floride since 30 day of
September ,~q66 , a~ at Rt 2Box 2998- Lakewood Park
(She~t and NumbK)
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FORT MERCE, SAINT LtlCIE COUNTY, RORIDA_
and this statement is to be taken as my c~eciaration of ciNzensF?ip,~actua) Ipei restdenos and domidle irt the Stste of Florida.
pnaen he~e any per~inent facts, such as sale of property or business, or relinqui~ment of ~mploym~nt
at former domicils, removal of famlly to new domicile, purchass of homs, etc.)
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Ri~ p qN0 RECO
Esta~lishing residence sTR COUN~yR~E4~
ORO V~RIFI~~="A' f
• Will apply for homest~ad
. ~l 53'~~2
~ ~ ~ ~ % 09
- CIERK-C1RCU ~TRqS
~r couRr
t
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~ 1 RJRTHER CERTIFY that I will comply wlth all oti~ roquiromenh of e le~al ~~tdent of thb State. E
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' I FURTHER CERTIFY that 1 have no intention to retum to my former domitile, and I intend to remain in FORT
PIERCE, SAINT LUCIE {OUNTY, FIORIDA, permanently.
: ~.~`'~~j.i ~~ptU~'~'i~• X Q~s-.-- U ,
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.ti
i~' " • ' r~•~'~.~- (Naffle)
` ~ • ~ ~t,~~•'~
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• ~ ~ ~a'•k~~' ~ W4~-I3~am P~'- Britton
~ J• h s.•1.A•~ ~ i ; Q M
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'y, ~0 14th March 67
~''Swot~~.to and wbscribed before me this day of . 19 .
ROGER ~OITRAS
q,~l( CIRCt11T ~ONRT Notary Public
gy ~ D.C. My Commiuion expires~
(Te b~ ~a~vt~d ie d~plieaw anel oei~inal Al~d wilb Cl~elc Ci~arit Coue~, aed dupNeaN v~ Tax At~r.)
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