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HomeMy WebLinkAbout0936 . , D~luatio~ of Oon~iall~ Cias~slNp - TO THE STATE AND COUNIY TAX ASSES~SOR, , ~ ST. UICIE C~Ot1N1Y, FIORt~A: . Thb ts my d~clantiw+ of Domkil~ ~nd Citi~enship in tht Stat~ of ~lorida fhat 1 ae+ lllinp this day In aoooe~iancr ~nd . in oonforn~ily with Ch~ptu 2Z~, S~ctipt 22l.17, F#orida SSRaatutp. . 1 was form.~t~r . Ipal ~id~,t of - Y.ebanon V ir ain i a tG~y) ' - ZSt~t~ ~ end 1~ided at HowwK 1 h~w dwrq~! mY domkiM . lSAnet and Numbu) _ ro~nd ~m a~d i~avt be~n a bona fid~ nsid~m ~f th~ Stah of Floridi d~a 1st day d Or c~~x~rr 19.~6.., and 1 tald~ a~ --321T Duh~n T~3rsce ` (Stra~t and Numb~?) l~ORT M~, i~AiNT LI~IE COtMlTY, lS+ORqA . a~d tf~is stata+r»nt is ro b~ tak~n as n~y d~da~ation af dtiarnhip. actua{ Ip~l ratd~na ~nd domkil~ In th~ St~N of Horid~. pr~t hxs any ptrtin~nt fach, wch as ssl~ of ptop~rty or bwlnqs, or r~linquhhm~nt of ~nrtpioymMtt~ at farmK domkii~. r~movaf af famity t8 n~w do~t~ld1~, punhaa of hon,~, Mc.) + . . Bstabliahing residence ~ FIlEO ANO RE~pRp~O - ST. LUCI~ ~OUNTY. ft,q, RECORD VERIFIEb " ~e~Q~` _ ~ '~l MAR 22 ~ ; qy ` a~,~~ ~ocER ~o:~RAs Ct.ERK CIRCUIT COURT . . t FURTHER CHtTIFY that t wiit oompty with alt ofh~r r~quinrrNnts o# a I~pal ~u~d~nt of this Stah. 1 fURTHER CERTIFI( ti~at I have ~to intention b mtum to my former domi~ji~, and i intend to romain in FORT PlERCE, S~AIt+~.t#~tE~C~~'fY,_FLORIDA, psrmanently. . . .y : . ~:x~`, f j •..Y. <; - - . • ; ~ .~y, r=... ti.,~. _G~ ~ - ._C.)= • 'ti'.s' ~ • -~~,r ~ f - ~',1: s`.'•s; . ` _ ~ : ~ ,L~, ; ; ~~~~i3 - . Jae tN+me) - . ~ ~ ~ : ~ ~ ` btuocaPye Ray 'i F - .~~,:i~ttir ~5••~-~r'"'~~`.'~a.s~''•~'~ ~'i`~t.. . . . . ~ y}: ~I. ; " ~ . . t ; -~~-i~:. S~ . C'v . S•`l` ,.:DS . - ~ V'wa~l~=~ i - . - '~.•t.~•~` -~,•`t S~worn ro and wbsaibsd b~fore m~ this 22nd ~ 1~Iarch ~q b? ~00lR rORRAf ~ . C~CtNT C01~f , Nofsry Publk 8Y _ , D C. M~r Commi:sion ~xpl~ ' ~ . ~Ti M~awa1~~ i~ d~ifeaN a~wl ~i~iw~l ~i wt11~ C~c ~ Cowt, awd d~ wNr Tavc A~Ka a~~65 ~ _ . _ ~3 °r~~~,xn:tA p,~ " w~~, t ^ ~ ~ . - _ - . . . . ~ • .I . . 1~~,. :o. y.. I . . _ . . ~ . I ~ ~ - _ fi