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Oecla~atfon ot Domicil• and Citis~n~r?hip
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163443
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl _ LUCIE COUNTY, fIORIDA: ~
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This is my declaration of Oomicile and Citize~ship in ths State of Florids tha~ 1 am filing this day i~ aoo~rdanoe and ~
~n conformity with Chapte? 222, Section 222.17, Florida Statutes. '
1 was forme~ly a legal residant of ~bbs Ferrq _ yn,r~ ~
~~~~y) (Staro3
and I resided at _ 150 P81858dES _ Flowever 1 hsvechsnyed my domitile
(Street and Number)
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to and arn and have been a bona fide resident of the State of Florida since aby of
~rCh , 19
3, and 1 reside at 360 Aire~a Blvd Pnrt-St.LqC~e-----
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, fLORIDA
and this statement is to be taken as my declantion of citizenship, actual legal residence and domiale in the State of Horida.
(Inse~t here any pertinent facts, such es sale of property or business, or relinquishment of employment ;
_ at former domicile, removal of family to new domicile, purchsse of home, etc.) ~
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Bstablishing residence and applying for homestead ~
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1 FURTHER CERTIFY that I will aomply with all other requirements of s leqal resident of thia State. ~
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I FURTHER CERTIFY that I have no intention to retum to my former domiG~e, and I intend to remain in FORT ~
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently_ ~
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„ ~.y e E?%'~Z~1/G~'h.,G4
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(Name) ~
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~ ^ ' Silvio Alvat~z
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'~.`.j~~~iorri'to and suhscribed before me this llth day of Jana~ary 19 68 ;
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ROGER rO1TRA5
GRCUR COUItT Notary Public
g D.C. My ~ommission expires -
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(To b~ uneul~d in duptieab and oripinal fil~d with Cl~ek CirevM Cov~, and duplieab wiN~ Tau Ass~ssor.)
a~K ~69 ~~296~.