HomeMy WebLinkAbout0213 -
D~1ai'~~10A Ot D01fl~1~~ al'1d ~~i~lli~ ~
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TO THE STATE MID COUNTY TAX ASSESSOR, . 15~~
ST. lUC1E COUNTY, FIORIDA: -
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This i: my s~claration of Oomidle and Citiz~nship i~ th~ Sfat~ of Horida that 1 am filinq thi: day in aooordanca and -
in co~formity with Chapter 222, Settion 4~2.17, Florida Statut~s.
I was formKly a Ipal rosid~nt of Pi t t sbtt rg„ P~
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and ! residsd at 1144 Robinson Road ,~~K ~~w cha.p~d my domidl~ - ~
(Strest and Numb~r) • ~
ro snd am and haw been a bo~a fide ~esidsnt of the Stat~ of Florida stnoe 24th ~Y ~
April ~ 19 67. ~ a~ ~ 401 Hernaado Street
(Sfrest and Number) -
FORT M~C~, tA1NT LUClE COUNTY, RORIOA
and this statement is b be taken as my declaration of citiZenship, acruel ipsl residenos and domidle i~ ths Stst~ o~f HoNda.
qnse~t hero any pertinent facn, such as sale of pnopehy or b~usir~u, or relinqui~me~t of smploym~nt -
at formet domicile,. romoval of family to new domidk, purchsss of home, ~tc.)
Entering Lauri in the 3rd:grade '
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~ #'tl.EO ANO RE
~ 8T. IUCiE COUNTII~_ ~
RECQRD VERIFiEO. -
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~ '6T APR 26 AM 9 i 53 ~
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. ROGER r'017RAS
CLERK CIRCUIT COUR~
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i FURTHER CERTIFY that 1 w111 aomply with aii otF~ requir~rr~enb of a lepal rosidsnt of thts Stafe.
1 FURTHER CEBTIFY that I fiave no intention to ~retum to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FlOR10A, permanently.
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~ Q' ~t-•' Barbara .Tackson
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. ~,.s•~_~ ( MrS Robert ~
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•r:,;,f,~'8J~1orn to and subscribed before me this 26th ~y of Aprii , 19 67
ROGER ~OITRAi .
Notary Publk
a a"~'~'`'~ D.C. My Commluion ucpires -
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(Ti b~ ~ M drpNcaM aa~l aiaw~l A~d wi1l~ CM~k C~f Cow~, and dupliatr wifi~ Ta~c ~a -
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