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Dectaratto~ ot Dorntcfle and Citizenshtp -~69"r88
TO THE STATE AND COUNTY TAX ASSESSOR,
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Si. WCIE COUNTY, FIORIDA:
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This is my declaration of Domicile and Citisenship jn ths State of Florida thst 1 am filiny this day in aooordanos and ~
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in conformity with Chapter 222, Section 2Z2.17, ~lortda Statutes. ;
1 was fo~me~ly a legal resident of pottSmOUth - Oh10 ~
(City) (State). ;
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and 1 resided at 1821 ~utlook Street Howsver ~ hsve chsn~ad my domi~ile
(Street and Number)
to and am and have been a bona fide ~esident of the State of Florida since 18tb day of ;
July , 19 68 , and 1 res'ide at 2603 So. 14th Street
(Street and Numbet)
FORT PIERCE, SAIN? LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual I~al residenoe and domicile in the Stats of Florida.
(Insert here any pertinent fads, such as sale of property or business, or ~elinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
. Purchased home - f ile for homestead exempt~on
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FILED ANO RECORDED
ST. LUCIE COUNTY. FLA.,
RECp~~~EO
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~ '68 Al~~ 21 AM 11:45
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I CLERK CIRCUIT COURT ~
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I FURTHER CERTIFlf that 1 will comply with al) other rsquirements of a legal'resldent of this Stats. ~j
th I have no intention to retum to m former domi4le, and 1 intend t~o remain in FORT ~
1 FURTHER ~ ~ERTIFY at Y
PIERCE, S,~AINtT?~UCI~,COUNTY, FLORIDA, permanently. j
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. ~ ~ - (Name) IrItS. Ruth Oliver
. " . Y ; (Mrs. Norman Oliver)
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Swom to and subsuibed before me this 2~ s t day of s t _ 19 6 8
ROGER POITRAS '
CLERK CIRCUiT COU Notary Public
gy D.C. My Commiu'wn expires
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(To b~ ~xocuted in duplfcat~ and oriyinsl fil~d with Cl~ek Cira~t Court, aad duplicat~ with Tax Ass~swra
800K 1~ PACE V S~
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