HomeMy WebLinkAbout1870 -17~.519
• Decla~ation ~ DOn~lall~ a~d CilisMSht~
TO THE STATE ANO COUNTY TAX A~SSESSOR,
Sl. IUCIE GOUNTY, FLORIDA:
Thli i: my daclantion a~ Domicile and Citiunship in tht Stat~ of Horida that 1 am filirp this day in aaoorda~ ~nd
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in aonformity with Chapter 222, 5ttion 22~.17, Horida Statut~s. _
I was formsrly a leqal ~esid.nt of A~'1 ~ nston Vir~ini8
(CitY) (Stst~)
and 1 rKided at 4?21 Ol el fle~inier 7~ri ~ra , How~vK 1 hsve charp~d my domk3l~
(Stre~f and Numbsr)
to and am and have baen a bons flde msident of the State of Fbrida tinoe ~~+t~+ day af
l~~YembBr , 19~~, and 1 reside at -413-TTA~ani 11 A AY+~nriA.,,
(5tr~t and Nu~)
~p~~, ap~p~ Port 8t. Lucie, Fort Pierce, l~lorida
and this statement is ro be taken as my dedaration of citi~enship, actval le~al ~ei~denoe and domicila in the Sta» of Horid~.
pnsert hero any pertinent fads, auch a: ssle of propery or business, or relinqui~msnt of employment
st former domkile, removal of family to new domicile, purche~ of Fwme, ~i~c.)
~ Betablieh $eaideaai
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~~~ED pN0 ~~Y.
S7, LUC~Rp ~,cRl~~~fl .
r. . 1~7 ~"iC,~ g~~
29 QM 1 : 2~ .
i '68 Hd~
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~ ~I.ERK ~~FtC
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1 RJRTHER GHtTIFY M~at 1 wil) aomply with all othsr nquiren~nb of a lessl rosid~t of this Stat~.
I FURTHER CERTIFY that 1 have no intention to retum to my former domicjle, and 1 intend to remain in FORT
PIERCE, SAINT LU~IE COUMY, FLORIDA, permanently.
,a~~~ 'R, ~tcyro~ l~i,.. ~1. 13~
(Name) Charles R.Burrowe
(Ackiress)
29t~
Sworn s~ and wb.wibed before me this ~ day of - ~evember , 19~.8
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~~~.,~~~CQIJRT Notary Pu~lk
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~ • • ' ~ D.C. My Commission enpires
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= „ a~K~~'4 ~1866