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Declaration ot Domicile and Citt:~nship *
TO THE STATE ANO COUNTY TAX AS.SESSOR,
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Si. llJC1E COUNTY, FLORIDA: ~
This i: my declaration of Oomicile and Citizenship in the State of Norida Mat 1 am filinq this day in aooordano~ and
i~ conformity with Chapt~r 222, Section 22Z.17, Florida Statutes. ~
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1 was formerly a leqal resid~nt of Athens Greece ~
(Ciy) (Sta»)
28 Petriarho Ioakim
and I rosidsd at . Howe~rer 1 have charpsd my domic3k
(Street and Numbs?)
February
ro and am and hsve been a bona fide resident of the State of Florida sinae day of
, 19 68 , end i~eside at 1?04 Ponce De Leon Prado
(5traet and Number)
I~ORT M~CE, S~AINT WCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual leqal ~esidenoe and domicile in the State of Florida.
qnsen he~e any pertinent facts, such as sale of propery or business, or relinquishment of employment
st former domicile, removsl of family to new domicile, purchase of home, etc.)
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For school purpoaes ~
FILED AND RECORDED
ST. LUCIE COUNTY. FLA.
~c~.CQRD VERI~~ED
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~ss ~aN i s~ 2:~ y 2
R ER PO~TRAS
CLE K CIRCUIT COURT
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1 FURTHER CHtTIFY that I will aomply with all athsr roquirerr~enri of a le~ai residsnt of this State.
I FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTIf, FLORIDA, permanently.
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~ ~ ~ar,,,~ ugene 0. Lloyd
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~ ~ ~ ~ . ~ (Address)
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~`':-Swom b and~wbsaibed before me this 16 day of Januery , 19~_.
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:CL,BK CMCtqT COURT Notary Public
8y D.C. My Commiuion expi~es
Re b~ ~aarl~d in d~ and ori~inal fil~d wilb CIKk Cka~i1 Cowt, aed d~plicah whh Tax A~no~J
f3 ~~.75 ~~10~8
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