HomeMy WebLinkAbout1281 .t~~o81
D~laratlon of Oomicil~ and Citiz~ship
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TO THE STATE AND COUNTY TAX A?SSESSOR,
S1. tUC1E GOUWTIf, FLORIQA:
This is my declaration of Oomidls and Citiun~ip in th~ St~ro of Horida that 1 am filirq this ~y in aooordana a~d
in oonformily with ChaptK Z21. Section 22Z.17, Florida StatuMs.
~ w~ ~~~y ~ i~i ~~t ~ Be ldwia L. I. Aew York
(c.ih) (Sta»)
and ~~~d.d at 869 Grand Terrace ~~w~
nq~d ~h? don+idl~
(Strest and Number)
ro and am and have been a bona flde rosident of the State of Florida sinos OCt. 25 ~y ~
, ~q 68 ~ a~ ~ ?65 Lomas Street
(She~t and Numbsr)
fORT MERQ, SAINT LUC~ COtlNTY, RO~qA
and this :tatement is ta be taken as my dedaration of dti~enship, actuel lagal r~idenoe and domiclle in the Sta» of Horids.
qnsert hsro any pertinsnt facts, such as sale of property or businas, or relinquishment of employment
at ~onr~ domicils, removal of family to nsw domicile, purchsse of home, etc.)
homeeteed purpoaes
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~ •~'ILED AND REGORDEO
ST. LUC1E COUNTY. ~l.A.
:~=:r[~P:? ~~ERt~tE;
1'74Q81
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.:~e ~.ar~~t.,-s ,
; CLERK E{REi!!~f eOURT ~
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1 RIRTHER Cf~tTlFY that I will aompiy With ail ott~x roqulre~r~nb of ~ lepal rosldent of this State.
I fURTNER CERTffY that 1 have no intention to retum to my former domidle, and I intend to remain in FORT
PIERCE. SAINT UJCIE COUNTY, FLORIDA, permanently.
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~ (Mame) VPalter E. Palmer
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Sw«n w and wbau~bsd b.for. m. this 22nd ~y ~ JaDUery ~~q 69
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By D.C. My ~onxnission ucpi~
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