HomeMy WebLinkAbout0563 159956
' - O~alaration ot ~lail~ and Citls~nship _ .
,
TO THE STATE ANO COUNTY TAX ASSESSOR,
Sl. lUC1E COUNTY, FtOR1~A:
Thi: is my declaration of O~nicils and Citizenship in ths Stat~ of Horida that 1 am filinq lhis day in aooordano~ and _
in oo~fo?mity with Cfiapter 222, Settion 222.]7, Florida Statutes.
1 was focme~ly a feyal ~~ida+~t of 1~ Lnudonvills Ohio
~ (City) ls~~~~
end 1 resided at ~nn~a?t r Rpad HowevK 1 haw tharp~d my ~lo~nWl~
(Stro~t and Number) _
ro and am and have been a bona fide resident of the Stste of Florida :inos ?
n~ ~Y ~
_ c~~effit~er ,~9~, a~d ~ ro.tde e~ . ~ 719 Citrue Avenu~
(Strott and Numb~r)
fORT N~C~E,, tA1NT Lt~CiE COUNTY. RORIOA _
a~~d this statamer~t is to be taken as my decisration of ciNz~nsi~ip, actuel le~al ~Kid~no~ and domidl~ in the State of Flotida.
pnsert here any pertine.~t fact:, such a: sals of pro~e?ty or bu:iness, or nlinquishmRr?t of employment
at former domidle, romoval of family to new domidle, purchas~ of home, etc.)
~
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A ~ N
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Entering Yichael E. lleare in 4th grade ~ v ~~m
1~eare "~f" . ~A~
Jack Lee /in Sssui lst grad• ~~o
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CO ~ nC~
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1'FURTHER GHtTIFY that I arill aomply with ail othsr roqui~ts of a lepal rasids~t of this Stete.
1 FURTHER tERTIFY that I hsve no intention b retum to my former domicale, end 1 intend to remain in FORT
PIERCE, SAINT LUCIE COIJNTIf, FLORIDA, permanently.
Pe
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YI'• ~t~$eIIe 8. w882'8
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- 719 Citrua Avenue E
~ ~
(Hddress) ;
i
. S+~rorii,~o and wbsaibsd before me this llth ~y ~ SePtembeT , 19~
``~,.~s;z:::s::r:ii,,, ' -
3~ t~~>i~we~;i~~s
~ J. . ~ Notary PuWK
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a~:' ~ C.C. My Commiubn expir~s
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