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HomeMy WebLinkAbout0443 aaluatio~ o~ Domta~l• a~d Citis~nshlp 1'734'75 TO THE StATE ANO QOUNTY TAX ~~SSESSOR, 51. ltlClE tOUNTY. FIORiDA: This it my d~cl~~~tiun of Domicil~ a~d Citi~uhip in th~ Stah of Flodda th~t 1 un filln~ thb day in aooo~da~ p~d in co~formlty with ChaptK 222. S~ttio~ 222.17, Fbrida Statut~. . ~ W„ ~~~y ~ St. Albana - west Virginia Kit~?) lSta») and 1 ~d.d at ?12 Cairoll St r~et ~ ~ (5tn~t and Numbu) , ro•nd am and hsw been a bona Nd~ r~1d~m of th~ Sta» af Florida sinae l8t ~y ~ - June 19~8 y~ ~412 aranads Street (Strwt a~d Num6K) lORT Nlibq, :AMIT LNCIt COUNTY, l~LO~A and this sta~e~n~nt b to be taken as my dedaation of dti~snshlp, actual le~ai r~idena and domidi~ in th~ Stab af Horida. p~rt hsre a~r pertineot fscts, wd~ as aals of properey or busin~ss, ar roifnquishms~t of unploym~nt at fo~mK domidl~, removal of famlly to nsw domkile, purchs~ of home, e~c.) Bstablishing residence and applying for ho~aestead n ~ ~ +t~ - ~~D ~ .iZ ;~l~ • ~ .A n(~C~ . ~ Q ~~~~Z' . r ~ ~ ~~m ~ o~ _ c ~'rn- o ~ ~ ~ I i i FURTi~ER CEitTIF1f thaf 1 wi11 aoe~ply with all ofi~ nqui~urwnls af a lp~l ns:id~nt of fhi~ Stst~. - I FURTHER (~RTIFY that 1 have no interttion to retum to my former domiCile, and I intend to remsin in FORT PIERCE, SAINT LUCIE COUWTY, FLORIOA, pemnansntly. ;:f a r ~ /D, c - ~ ~~j Y: ~ ~s..yc .x6~ • ::.5_ • `,~k' ~~~FFC~~~:T: f'- ~(r~, _ S.Y ,t^-. .L' "i!-'. . . . _ =ry "'11:lf)! - .i"'.`.•.`~'" , . ~ ~ " ~ ~''~`Y ~ Dennis W. McDermott ~ ' ~ j ~ r.; _ ; ' .r....,~. C. ~ ~ ~~.rc ~ ~ t - ~ y' - i ` , ` : . - (Acldrou) - V •~"~j;;,:- ~L., ~~~r~w~oin, to~ •.and~bsaib~d before ms this 3 rd ~y ~ J n a r~ , 19~.4 1• ^ f :_`.:;_vC;~ - !;.f'~~ ~~qRCtMT _ Notary Pubik 8y D C. My Gommission expins R~ b~ ~oo.aiar is d~piical~ a~ «~~iw~l Al.d wily d~c CMwit Ca~, ,~d drpiicM~ wi~ T~oc AM.w.a is 1~ ~ : - ~