HomeMy WebLinkAbout1007 ~ Decla~atto~ ot Dorntcsla and Cittz~nshtp
TO THE STATE AND COUNTY TAX A~SSESSpR,
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ST. IUCIE COUNTY, FtORIDA:
Thi: i: my declaratio~ of Oomicil~ ind Citlunship in th~ St~te of Florida th~t 1 am filinq this d~y in a~ooorda~a and ~
i~ oonfarmity with Chapt~t 222. Settion 242.17. ffotida Statutis.
~ wa: fonnsrly a I.qai hsid~nt of Ira Vermont j
(pty) (~~t~ ~
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and 1 reslded at west AutlaDd ~ Vt, ~w ~
chanpsd rr~Y domWle
' (5treet and Number) ~
ro a~d am and havs been a bona fide nsidsnt of t~e State of FJorida s~nce Jane ? ~y ~
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„ 509 Sandia g.t= Drive ;
(Str~et ind Number) 3
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FORT PIEACE, SAlNT LUC1E ~OUNTY, RORIDA :
a~d this statsmsnt is b be taken as dedaration of citizenshi , actual ~
~nY p k9al roside~a a~al domidl~ in t~t Sta~ af Horida.
pns4rt hsre any partinsnt fad:, wch ~~l~ ot property or buu~s, or rolinquish~nt of Mrip{aynMnt -
at tormer domkiis, nmoval of famity ~o ~sw domicik, purchas~ of honw, Nc.)
Por hoa~estead purposes -
, ~ ~ILEA AyD RECOR~Ep
- .ZUCIE COUNTY. FLa. ~
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'~9 i~ 21 PM ; 26
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. 6LERK GIr~EUiT COURT
1 RJRTHER GER7IFY that I wii) oomply with all otF~ r~quir~nwnts of a lepal ~idsrtt of tFiis Stats. ~
I FURTHER CHtTlFY thst 1 have no intention to rotum to my former domic~le, and 1 interid to remain in FORT
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PIERCE, SAINT LUCIE COUNTY, flOR10A, permanentiy.
V
(Name) Ralph Haslow
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c (qddress)
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.,;:,,Swom to~ar~d sub'suibed before ms tt,i: 21st ~y ~ M~trCli ~ 19_~..
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~ ' - .ItOGER;~POIt~`/?S
~~LERK Ct~ICtf~f COtJ Natary Pubik
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~ ~y'• , ~ , D.C. My Commission expiret
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~~Td ~ iN,~x~wt~d i11 dvplieat~,aed OripilNl fi1~d wilil Cl~rlt Cinprit COYff~ aeid dYplkNr Witf~ TiX 11~Mt~Ka
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