HomeMy WebLinkAbout0451 D~uatlon ot Domlall~ and CittsMShip
TO THE STATE AND COUNTY TAX IISSESSOR, -1~~81
51. IUCIE COUNTY, FLORIDA:
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This is my d~cluation of Oomkils and Cin~ship in th~ Sta» of Fiorida tha~ 1 am Niin~ this day in ~ooordana ~nd
in aonforn+ity with Chapter 4~2, S~ction 222.17, Horida StatuNs.
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~ was formKly • Ipel raid~nt of ~
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~nd I ntid~d ~t hlow~v~ i haw chanp~d my dontWl~
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ro and am a~d iww been a 6ona fids rosklsr+t of th~ Stat~ of Horida ~ i~ ~ day d
, 195~, and i ro=ide d~`0`~ -
(StrNt u~d Nhnrib~rl
I~ORT iAMIT LttCiE C03lNTY, R~A
and this ststerr~?t is ro be takan as my dedaration of dti~snship, aclvel le~al residenoe and domidi~ in th~ Stat~ of Horid~.
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pnssrt hera a~y pertinsnt fads, wd~ as sale of propsrty or businsss, or nlinquislun~nt of ~nploym~nt
at forn~ domidi~, rwYwval of family to new domicik, purchsse of har~, NcJ .
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~ FILEO ANO RECORDED
t ST.RECORD VERfFt~
ig73481
'6~ JAN 3 PM I: 31
~ ROGER POtTRAS
i CL.ERK CIRCUIT COURT
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1 FURTI~R CfRTIFY th~t 1 will aomply with all o1i~u nquirrrn~t~ of a Ipal r~sidsM of this Statf.
I FURTHER CERTIFY that 1 have no intention to mtum to my former domi~ile, and i iMend to remain in FORT
WERCE, SAl.NT WCIE GOUNTY, RORIDA, permanently.
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`^~•..~roT.a~to~and wbscribed bsfore me this day 19 .
RO~ilR ~OITRAi
CIRqAT OONRT Notsry P~Ik
8y p`'`'~'~ D:C. My Canmis:ion ~cpiros
Ri i~ ~ iA drplie~ah asd ai~iwal f~d wtll~ Clwk Cira~il CeYeti aed ~aN wilb Tsx A~~.~
a~1.75 n~ 450
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