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Declaration of Domictl• and Citiz~nship '1'~~8 E
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TO THE STATE AND GOUNTY TAX AS.SESSOR,
51. IUCIE COUNTY, FLORIDA:
This is my declaration of Oomicile and ~tizenship in ths State of Florida that 1 am filin~ this day in aooordat~os snd
in aonformiry with Chapter 222, Section 222.17, Fiorida Statutes.
1 was formerly a leyal resident of Cr098V111@ Tenneasee
(Ciy) (Stste)
and i rosidsd at Route 5 Boa 526 . However ~ have charpsd my domk3le
(Stroet and Number)
to and ~m and hsve bean a bona fide resident of the State of Ftorida since January ~y ~
,~9_5.&, and I res~de at 212 Gardinia Avenue ~
(Straet and Numbsr)
FORT N~Cl, SAlNT LUCIE COUNIY, RORIDA
and this statement 1s ro be taken as my dedaration of citizenship, actual legsl residenoe and domiale in the State of Horid~. ~
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pnsert here any pertinent fads, such as sale of properly~or busineu, or relinquishment of employment
st former domicile, removal of family t~o new domidla, purchase of home, etc.)
Eatebliahing residence end filing for hameatead ezemption
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FILED AND RECORDED
ST. LUCIE COUNtY. ~LA.
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'68 ~CC 27 PM 2: 2
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s= ~o~rac;s
CLE K CIRCUIT COURT
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1 FURTHER CERTIFY that 1 will oomply with all oft~ ~squirement~ of a leysl residant of this Stat~.
1 FURTHER CERTIFY that I have no intention to return to my former domivle, and 1 intend to remain in FORT
PIERCE, SAlNT. LUCIE COUNTY, FLORIDA, permanently.
" . , . . - ~
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- - - _ Mame~ Jimmy Deen Evans
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~ ~ . : (Addres:)
~swornr~+o':nd wbsuibsd before me th?: ~ 27th ~y ~ December 19 68
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6y ' o.c. Mr comrt,iuio~ •xpir~s
a• r. .o~.a~ i~ ~al~. aw~ ..I.M.~ fiM~ a,~1M a.~lc cMarM c.r.+. ~lie.~. wiN~ Ta~ A....«.a
~~175 P~~E 24
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