HomeMy WebLinkAbout1169 D~Iaration of Don~lall• and Cltis~nship
TO THE STATE AND COUNTY TAX ASSESSOR, i~24C~
ST. LtK1E GOUNTY, FLORIQA: ~ '
ThI: i: my decla~ation of Domidls ~nd Citi~+ship in th~ St~ro of Florida that 1 am filinq this day in aooordana and
in aonformity with Chaptsr 22'l. Sectio~ 22?.17. Florida Stahrta.
I was formerly a leqal rosid~r+t of pottsmouth n~~--
~ ~~y~ (Sta»)
~ 2501 iSth St reet
and 1 nsidec! st _
(StnM and Numbst)
to and am and havs been s bona ficN ~id~nt of t!~ Sts» of Florida s1no~ 1 ~Y ~
October ~ 19 66, ~ ~ 1025 tortugas Avenue
(Stn~t and NumbK) '
FORT M~, SJIlNT t1lCli COU[+lTlf. ftOR1DA -
and this statement is ro be taken as my d~daration of citi~n:hip, actual Ipal raid~na and domidl~ In the Stet~ of Florida.
(Ins~rt hen any pe~tinent fscn, such a sale of property or busin~ss, ar nlinquishrnMt of ~mployn?~nt
at former domicile, removal of family to n~w domidle, purchase of home, Nc.)
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RlLED AND RECORG Q ~
ST. WCIE COUNTY~ R~ i
RECORO VERIf1E .
- '6T MAR 2T AM Ip : 38
- 154249
fistablishing residence P.OGER a01TRAS
. CLERK CIRCUIT COURT
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~ i FURTHER C~tTIFY thaf 1 wlll aomply with all oM~ roquirorrwnis of a lepal r~ident o# thk State. ~
I FURTFIER CERTIFY that I have no intention to retum to my former domicale, and I iMend to remain in FORT
PIERCE, SAINT WCIE COUWTY, FLORIDA, permanently.
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i C~ r~,~i Ma~~
JJ...lS l% i
~=orest B. Piymale _
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! f~•tEea~(3ub~aibsd~before ms this 27 dey of March _ 19~L7.
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~ Notary Public
gy ce-e-~l~ /ti~ D.C. My Commissio~ expir~
Re b~ ~1~d M dn'lie,at~ aw~ ~ei~! f~d wi~ CI
O RCinaiit Ce~e~?, and deplieaM wiN~ Tax A~.~ -
a~165 Fa~E1~.6'6
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