HomeMy WebLinkAbout1769 _ - Q~cluatlon ~ ot oom~aii~ and Cit~~nship lf ~1'~0 ` -
TO THE STATE AND COUNTY TAX ASSESSOR, ~
ST. UlCIE COUNTY, FtORIDA:
This is my dacla~atio~ of Oomicile end CNiz~nihip in th~ Stat~ of Flo?ida that 1 am fili~p thi: day in ~aordat~a ~nd
in aonformity with GhapMr 222. S~ction 222.17, Florida Statut~s.
1 wa: formerly a layal rosid~nt of Y11io2'~
(Gh+) tStat~) E:
. ;
end I rosldad et 27 xox~liYig Yist 8oad ~~w
(Stre~f and Numbsr) ,
ro and am and have be~n a bona fide ~sid~nt of t~e Stst~ of Florida sinoe 6th ~Y ~
_ pnt_ ,~9lt~, snd i raid. ar 355 l[i ~ wav aoad ~
(StrNt ~nd NumbK)
I~ORT lIERCE, iIUNT ltK1E COtMITY, RORIDA
and this statemsnt i: to be taken as my declaration of citiunship, ~ctusl Ipaf r~sEdeno~ and cbmidl~ In th~ Stat~ of Horida.
(Inse~t here any pertinent fads, :uch a~le of propsrty or bu:inass, or rslinquishm~nt of ~mploym~nt
~ st former domicils, romovai of family to ~+sw domicik, purchass of home, ~tcJ
, ~E.
fll.EO AHO IlECt1R~0'
- . _ . ~T. LUCIE COUI~TY. l~lA.
Sr~tering ohildrdn ia eohool RECORp~C~~R
1 il V
~anaa in th. ~e~enth grad. '6T OCT 9 AM- 9: q9
Ronald in the Sirat grads ~
: ~oc~~ ~otr~as
- C{.ERK CIRClJIT COdRT
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~ 1 fURTHER CERTIFY fhat 1 wili com with all othsr roquirorrienh of a le~al rosident of this Stste. ~
P~Y
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i fURTHER CERTIFY thst 1 have no intention b retum to my former domitile, and I intend b remain in FORT
PIERCE. SAlt~l~. j~~;COUNTY, RORIDA, permanently.
••~~LUJn~C!ij~ - . .
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~ • ~j ;d " gtella ~~~a~ ( Yr~ 8onald )
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swom to a~d wbsaitied before me thi: 9th ~y ~ Ootober 1967
ROOER rO1TRAS
GOtlRT . Notary Pubik
? ~~ilR~~tN~~
/0
gy - D.C. My Gommission expires
Re bo ~caaMrd M d~lical~ and e~i~inal til~d wi~ tl~ek Cie~if Cew~, aad d~rplial~ wid~ Tavc A~a .
~168 ~1~4
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