HomeMy WebLinkAbout1920 D~I~ation o~ Oom1~i1~ and Clt~e~ship 1'7255`7
TO THE STATE ANO COUNTY TAX ASSESSOR,
St. IUCtE GOUNTY, FlORIOA:
This is my declantion of Oomidls and ~tiunship in th~ Sta» of Horida thst i am filin~ this day in aooordano~ ~nd
in conformity with Chapter 222, Secfio~ 222.17. Florida Statute~.
1 wss forn~ly a Ipsi rosid~nt of `~~~L~ ~!~/R
(CttY) (Stat~)
and 1 rosided at ~alJC. . . HoMr~ver 1 have cha~p~d my domWle
(Street and Number)
ro and am and have been a bons fide rosident of th~ Staro of Florida sinos day of
, 19~, and I roside at
(StrseT a~d Numbsr)
l~ORT MfiRCl, tAiNT LtIC~ COUNTY. RORIDA
and this stateme~t is to bs taken as my dedaration of atizenship, actusl legal re:idenos and domidie in ths State of Horida.
p~t hsrs any pertinent facts, such a: sale of property or business, or mlinquishment ot employment
at ~ormer domkile, removsl of family to new domicile, purchase of horr~e, etc.)
~~a5~c~ D N PURC~d G e O~ ,G,pr ~a~T ~r .G~~
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1 RJRTHER G~RTIFY that I will aomply with all other requit~nts of a le~al rosident of th4 State.
1 FURTHER CERTIFY that I have no intention to rotum to my former domicGle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permansntly. ~
Mame)
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/QOD /Il.t,uJ ror~' 090~'
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Stivom r s me this 2Tth ~ ember 19 68 .
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T r 57 Judge Advocat~e, ~T;310 Combat Support Group
In '~~3 ~r
8y h D.G. My Commission expires
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