HomeMy WebLinkAbout0904 • 7
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~ Declaration °ot Oomtcile a~d Citizenship ~75~
TO THE STATE AND COUNTY TAX ASSESSpR.
Sl. LUCIE GOUNTY, FlOR10A: .
This ls my d~cl~ration of Domicil~ ~nd Citisenship i~ th~ St~» of Florid~ that 1 am filinp this day in aooor~dano~ and ;
i~ aonformity with Chapter 22Z. Sscfion 22Z.17, ~lorid~ &atut~s. ~
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! was formKly a Ipal r~idsnt of LakeMOOd Nerr~er,ae~ :
~C~ty) (Sta1r) ~
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and I nsided at -_2(L_F D~ rchestc r Dr i v~ HowevK ~ haw cha~q~d my domic~l~ ;
(streef and Numbar) ~ ~
ro and ~m and Mv~e been a bone fid~ resident of the State af Flotida si~oe 2?t]~ d~y of
_ ~Cem~r , 19~t.Z, and 1 raide at 2U7 Bast ~f~nr A~tnL~
(Streef and NumbK)
FORT PtERC~, SAlNT LUCIE COUNiY, FLORIDA ;
a~d thi: statement is ro be take~ ~ my deduation of uti~n~ip, actuat te~t raide~os and domidi~ in ths Statt c~ Horid~. ;
pruert hera any pertinent facn, wd~ as sal! ot propsrty or businsss, or reiinquul?rr~t of anp{oyer~siK =
at formar domicti~, nawvat of famify ro n~w domicile, purchas~ of homt, a~
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Bstsblisb Reaideace
. 1'75894 ~ ~
' • FtLEO AND RECOROED
' ST. IUCiE COUNTY, FLA. - ~
~~~.~eR^ `IERtFl~C -
'69 t~~ 20 AM t0: 42 .
n0 ~Er~ ~ OITRt,S
- CLERK CIRCUtT COURT .
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~ 1 RJRTHER ~ERTIFY that 1 will aon~ply with all oth~r tpultem~nts of s Ipal r~stdsnt of this Stat~.
1 fURTHER CER7IFY that 1 hsve ~o Inteation to rotum to my former cbrniale, and I int~nd to r~main i~ fORT
PIERCE, SAINT LUCIE COUMY, FlOR1~A, perman~r?tiy.
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. . t~wme) Jaaes G. Leslie
(l4ddr~u)
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Sw.orn to1~nd sv.bsuib~d b~for~ m~ this 2Atl~ day of ~~sCh . 19_~~.
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BY ~.C. IM~/ COfrNTNSt~Ofl ~t~tN
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~'f. w.oc.a~i i~ ~C.1.,.~ .ei~iw.~ al~/ wi~ a..k ekwit c.wt, .~i ir,w.~. will~ T~c A.......a
~o~1"1S ~ 903 -
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