HomeMy WebLinkAbout1684 - _ 1'7+0456~ :
O~aluation o~f Domiaii~ a~d Citis~nshlp
TO THE STATE AND COUNTY TAX ASSESSOR, -
St. WCIE GOUNTY. FtORiDA: .
This is my d~d~ration of Domidle and Citi~oe~ship i~ t1~ Stat~ of F1o~ida tMt 1 ~m filin~ this day in ~ooord~no~ ~nd
in oonformify with dMptK Z24. S~ction 222.17, Haida StatuNs.
~~~y ~ ~p~~ ~,t ~ Naahville Ten ~~see ~
(CitY) (Stata) ~
snd ~ nsW.d •t 3511 Weatend Avenue . Hovwv.r ~ hav~ chan~d m~r domtdl.
(St~et and Numbsr)
to u+d am ~nd haw beM a bona Hd~ ~esidant of thi Stat~ of Haids s~no~ 9th _ day af
September ,~q 68 , ~ rosicle st 2006 3Sth ~~t~~~.. ,p~~ rce
(Str~t and Nun~)
l~ORT M~, f~AM1T~ IUC~ COUNTY, fLORIDA
and this :tate~r~ent is ~o be taken as my dedaration of dti~sn:hip, actual ie~si r~idena ~nd domicil~ in th~ Statt of Hotid~.
, pn~t here any pertinent fads, such as sale of property or business, or relinqui~msnt of ~nploym~nt
at formsr domidk. ~rwval of family to new domicile, purchase of hane. Nc.)
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Bntering Chiidren in School
~IL~O ANO RECQROED ~
~ . ST.RECORC~VGRIF ED`A~
1`70456
~ '68 SEP 16 AN 9:06 ~ _
ROGER POITRAS
CLERK CiRCU1T COURT_
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1 RJRTI~ER CgtTIFY th~t I wili aomply with all ottNr r~quir~nb of a lepd r~sld~nt o# this Sta1r.
1 FURTHER CERTIFY thst 1 have no intention to mtum to my former domic~le. and I intend to mmain in FORT
PiERGE, SAlNT U1CIE COUNTY, RORIDA, permanently.
. ~J.
(Nsme)
Mrs.G. L. Cantreil
~ - (Jacklynn)
_ l~tu?~:i.: (fkldress)
!l;ti`ti\\~ • .l
v` •ry~V C.i ~ .
.~S~w~or~'p•arpd ~Saibsd before me this day of SP.r~st~t. . 19.6~_.
_ ~ ~ v _ ~ _
. N,- i 4~~s : : ~ :
. ' ~~t~s,~ Notary Pubik
?n ~a~
8y' - D.C. My Commistion axpira
R~ w~aa1~i i~ d~iical~ aAd ~ Al~i wi1M N«k p~aiit C«ret, aad d~pliealr wi11~ Taoe A~a
: „ ~i?3 ~i671
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