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~69'~'84
Declaration of Dor~~clle and Citizenship
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TO THE STATE AN~ COUNTY TAX ASSESSOR, . '
Sl. lUC1E COUNTY, FIORIDA: a
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This is my declaration of Oomicile and Citizenship in the State of Florida that 1 am filirp this day in aooordanos and ~
in oonformiy with Chapter 322, Section 22Z.17, Florida Statutes. ~
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1 was formerly a leqal resident of T~o ~ AlBbama ~
(Ci~y) (State) ,
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and 1 resided at 405 Co lie gedale Avenue ~o~,,,ever ~ have char?qed my domicile 'j
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(Street and Number) '
ro and am and have been a bona fide ~esident of the State of Florida sinoe August 19 day of
, l9 68 and ! reside at 211 Gardenia Ayenue
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaratwn of citizenship, actval legal residenae and domiale in the State of Horida. .
' (I~se~t here a~y pe~tinent facts, such as mle of property or business, or relinquishment ot employment ~
at former domicile, removal of family to new domicile, purchase of home, etc.)
~ ~ntering child in school ~ -
Robert Daniei Austin
FILED AND RECORDED
- ST. LUCIE COUNTY. FLA.
RECORD VERIFIED
169`7'84 -
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Ros~R Po~~R~?s
CLERK ClRCUIT COURT
I FURTHER CERTIFY that I will camply with all other requirements of s lepal'~esident of this State.
, I FURTHER CERTIFY that I have no intentian to return to my former domitile, and 1 intend to remain in FORT
PIERCE, SAINT LUCfE GOUWTIf, fLORI~A, permanently.
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-~~`'.;,o~``'-`;~~'~ ~ •(Name) Mrs. Robert D Austin
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Swom to and subsaibed before me this 21~t - da of ,
ROGER P017RAS ~
CLERK CIRCUIT O Notary Public
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gy. O.C. My Gommission expires
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(To b~ ~xewt~d in dupUcah and ori~inal fil~d with Cl~elc Ciraiit Couh, and dupliat~ with Tax Ass~ora
a~K 173 PACE 681 ^ -
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