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Oealaration ot Oomicil~ and Citl:~nshlp
TO THE STATE ANO COUNTY TAX ASSESSOR,
Sl. IUCIE GOUNTY, FLORIDA: •
This is my declaration of Oomicile and Gitizenship in the State of Florid~ thst 1 em filin~ this dey in socordano~ and
in oonfo~mity with Chapter 222, Sactio~+ 222.17, Florida Ststutes. •
f was forme~ly a legal resident of San AI1tOtlio Texas
(city) (s~~ro)
end I residad at 728 Hotwells Boulevard ' . Fiowever i havechan~ed mydomWle
. (Street and Numbe~) "
to and am and have been a bona fide resident of the Stats of Florida si~oe 30th day of
~Rril , 19 6? , and 1 reside at 1805 North 4Kth Street
(Street and Number)
FORT MERCE, SAINT tUC1E COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, acfusl legal residence snd domidle in the Stats of Florida.
(Insert here any pertinent facts, such as sale of property or business, or mlinqui:hment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Bntering ChristoQher Frangella a; -
A .
in First Grade m~; a ~r~
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Husband is in service but Fort Pierce is ~ v~v
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former 9E~Iif~~i home . C~1 .~-~~-ia
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Fr
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I FURTHER GERTIFY that t will oomply with all other raquiremsnts of a Isya) resident of thi: State.
I FURTHER CERTIFY that 1 have no intention to retum to my former domitile, and I inte~d to remain in FORT
PIERCE, SAINT IUCIE COUNTY, FLORIDA, permanently.
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~ Mrs. ~aak Fransella
~
. (Address)
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. Cs~~'~ d'se~ ~ibed before me this lst ~y ~ May , 19'6? -
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- COURT Notary Public
gy i D.C. My Canmitsion expires
~ Ro b~ ~onew~d in duplicaf~ and ori~ind Al~d wilb Cl~ek CiKVif Ce~el, aad dvplkaM wilb Tax A~ora
eooK 166 ~c~ 3?~
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