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Declaratlon ot Domicile a~d Citlzenshlp 1`73993
TO THE STATE AND COUNTY TAX ASSESSOR, i
Sl. lUC1E COUNTY, FIORiDA:
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This is my declaration of ~omicile a~d Citizenship in the State of Florida that I am filing this day in aooordanoe and
in conformity with Chapte~ 222, Section 22Z.17, Flo~ida Statutes.
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I was formerly a legal resident of Hanover Md. ~
(Clty) (State) f
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and 1 ~esided at ^ Rt . 1 B07t b0 , F~owever 1 have chan~eci my domkile
(St~eet and Number)
to and am and have been a bona fide ~esident of the State of Florida since 22nd day of
Februarq 68 ' Rt. 2 Box 2570
_ , 19 , and 1 reside at
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual lega) residenoe and domicile in the State of Florida.
(Insert here any pertinent fads, such as sale of property or business, or relinquishment of employment ;
at former domicile, ~emoval of family to new domicile, purchase of home, etc.)
filing for homestead purposes
~ILED AN~ pUN'~D~ A'
ST•ZUC~R.n V~RI~tEO
1~3~~3 • 44
•s9 ~Aa 20 a~ ~ i
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i~~` n F~o~TRas
~ cL CIRCUIT COURT- ~
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1 FURTHER CERTIFY tfiat I will aomply with af) other roquiremenb of a Ispal residant of this State. ~
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I fURTHER CERTIFY that I have no intention to retum to my former domicjle, and I intend to remain in FORT 1,
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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" • BSrl $ I1 1
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. • Mary Spriggs
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Swprnld`+nd subsuibed before me this 20tb day of _Tanuaiy , ~q~$.
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.ROGER
Ct~RK COURT Notary Public
8y D.C. . My ~ommission expires
(T~ M i~ drplica/r awd eriai~al fil~d wNh Cl~elc tbaoh C~w~, a+d du~lieN~ wilb Tax Aww~,?
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