HomeMy WebLinkAbout2896 ~
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~eclaratio~ ot ~orricl~~ a~d Citis~nship .
~ ~ 16~382 ~
TO THE STATE AND COUNTY TAX ASSESSOR, ~
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Sl. LUCIE COUNTY. FlOR1~A: ~
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This is my decla~ation of Oomicife arsd ~itizenship in ths State of Norida that 1 am filirq Mis day in ~ooordance and ~
:n conformity with Chapter 222, Sectio~ 22~.17, florids Statutts. ~
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Lebanon penn f
I was forme~ly a leqa! resident of _
(Ciy) (Sts»)
and I resided at _ 218 SOUth 9th street ,~~„~e~er ~ have chan~ed my domivle
(Street and Number) -
ro and am and hsve been a bo~a fide resident of the Stste of Florids since 9th day of
_ anaar , tq 67, and 1 ~eside at 315 B North 13th street
(Street and Numbsr) ~
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FORT PIERCE, SAINT LUCIE COUNTY, RORIDA ~
and this statement is to be taken as my declaration of citizenship, actual legal residenoe and domicite in the Stste of Horida. F
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment ;
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at former domicile, removal of family to new doa'~icile, purthase of home, etc.)
Bntering 2 children in grade school
FILED ANO RECORDED.
ST. LUCIE COUNTY. FLA.
RECORD VERIFIEO
i63382
'68 ,lAN 10 N~ 9:37
i:o:~~H ~-o~T~:,
` CLERK CIRCUIT COURT
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1 FURTHER ~ERTIFY that I will aomply with all other requiroments of a lepal reiident of this State.
1 FURTHER CERTIFY that 1 have no intention to return to my former domicjle, and I intend to remain in FORT ~
PIERCE, SAINT,~,Ifj~ ,COUNTY, FLORIDA, permanently. ~
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'~~r•.• v.'•..` '•,~•f
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:~'~.i--.•~,,... G~: , (Name)
Q : ~ = Helen Mor an ( Mrs G`~rald )
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~ ~ ky~~ (Address) ~
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'~~n~„~~~n~~=~ anuary 68 i
Sworn tti and subscribed before me this lOth day of J , 19 .
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ROGER rO1TRA5 f
CIRCUR COURT Notary Public '
g ~-G ~~~`'~1i~~ D.~. My Commission expires
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(To b~ an~cuhd in duplicah and o~inal Al~d witb Cl~rlc Grarh Carrf, and dvplicat~ with Tax As~or.)
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