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Declaration ot Domicile and Citizenship ~~,2Q5~
TO THE STATE AND COUNTY TAX ASSESSOR,
ST. LUCIE ~OUNTY, FlORIOA:
This is my declaration of Domicile and Citizenship in the State of Flotida that I am filing this day in aooordanos s~d
in aonformity with Chapter 222, Section 222.17, Flo~ida Statutes.
1 was formerly a legal resident of A9ht8bu18 OhiO
(Ciy) (State)
and 1 ~esided st '5602 F81"g0 Drive . However I have chan~ed my domicjle
(Straet and Numbe~)
ro and am and have besn a bona fide ~esident of t~e State of Florida sirxe dey of
P. 0. -
Boz 1660 -Cassa Caprona Apte.
OCt. 9 , iq 68 and 1 reside at (Street and Number)
FORT r1~CE, SAINT LUCIE COUNTY, RORIDA
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and this statement is to be taken as my declaration of citizenship, actual legal residerae a~d domiale in the State of Horida. '
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qnsert 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.)
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Entering son RILEO AND RECORDEO ~ ;
James E. Flynn, in public echools ST. LUCIE COUN'iY. ~LA• ;
R i~~oS~F~Eo
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'68 NOV I 2 PN 3: 2 0 j
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~p~ r OITRAS
CLERK CIRCUI? COURT?
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1 FURTHER GfRTIFY that I will oomply with al) other requiremenh of s le~a) resident of this State.
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I FURTHER CERTIFY that I have no intention to return to my former domi4le, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTIf, FLORIDA, permanently.
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(Name) Emile L Flynn
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(Address)
llth da of Nov$mber 19 68 ~
Sworn to an~d subsaibed before me th~s y . ~
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RQG~;.~ps~'?~'.~, .
~,'~{kGHR COt1RT ~ _ ~ Notary Public ~
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By - . D.C. My Commission expires ~
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(To br'J ~,~in'~pUcat~ and ori~nal fit~d wilb Cl~elc Ciraiif Couh, and dupliat~ with Tax Ass~aor.) i
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OOK ~74 iAGE11O~t
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