HomeMy WebLinkAbout2266 O~Clirat1011 4~1 OO~'lIC1~~ i1N1 C~IZMih~f
TO THE STATE AND C'Ot1NTY TAX ASSESSOR,
51. UJCIE COUNTY. FLORIOA:
Th~ is En~r deciantion of Oomicil~ a~d Citi~+ship i~ in~ Stat~ of Florida That 1~ Nlinq this day in ~ooordano~ p~d
in ooniamity with Ch~phr 422, S~ction 22Z.17, Horida Statut~s.
~ New B6~'Pt • N~M Jerser and
1 was formKiy a Ipal ~id~nt of CoCOa BeaCY1 - Fla.
~qry) tStat~)
and 1~td.d •t 346 pine Ave. , Cocos Betch~, Pla. ~„y
(5tnat ~nd NumbK) ~ .
ro and ~m and hsw bsen a bona Hd~ ~ld~nt of th~ Shir of florida ~inoe T~ 19 1 S day vf -
~ Doreqs Tsailer parl~
19 68 3221 So. Fed. High~ay
, and ~ 1 nsWs d .
(Slrs~t and NutnbK)
I~ORT l~RCR iA1NT UICIE COtINTY, lIORpA
and this statem~nt is to bs tsken as my dedsration of dt~:~lp, actusl Ipsl raidenoe and domicile in tha Sta1~ of Horid~.
pn~rt h~ri a~y psrtins~t facfs, such as sale af propsrty or buunsss, or relinquishm~nt of srnpkyyment
st formar domidl~, rorr~oval of family ta new domkile, purchass of home. ~ic.)
Bntering child in public schoo3
R~bert Jasea Hopkins - 6th Grade
fILED AN~ RE QltO~D~
5T. LUCiE COU~TYEOLA.
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~ '68 SEP 30 AN. 10: 13
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~ ROGER ROfTRAS
~ CLERK CIRCUIT COURT
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1 RJRTHER Ggt7iFY tlNt 1 will oomply wlth all oRl~ nquirarwnis o~ a ip~i n~ident of this S~.
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1 FURTHEtt CHtTiFY that 1 have no intentan to refurn 1o my formar domWk, and 1 intand 1o rerruin in FORT
~IFlKE, SI11NT LlJC1E COUNTY, FLORIDA, psrma~snNy.
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S~oc~ to ~ib~d b~for~ n» this 30 th ~yy ~ Se p~ e~ bt r , 19~$_.
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a~K CMGAT GOIItT Notary PYbik
o.C. JN~? comn+iuio^ ~ .
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