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HomeMy WebLinkAbout1201 : ~ F " oec~arat~on ot oan~ictl~ and Citizenship ~ ~'~~S.S . TO THE STATE AN~ COUNTY TAX ASSBSSpR, , . ` j ~ 51. WC1E COUNTY, FLORI~I~ ~ .s ~ . This is my dedantion of Oomicile ~r~d Citi~~uhlp i~ tlw Stat~ of Rorlda that 1~m filin~ this day in aooonda~a ane! in oonformlty with CMpter ZZ?. S~dbn 4~Z.17, HorkJa Stahrtp. i was form~tiy a Ipai ~id~nt of ~ab~d~ H=i~ts IfM~ J~~",_ . (G~yI `5tata ar~d 1 nstded at 4s0 Lalaii~ ,ie. ~ ~ Howa,~.r 1 haw chanp~d my domiyl~ (StraM a~d Numb~r) ~ b and am and Mw bNn a bona Kd~ rosidN+t of th~ Shh of Horida ~i~a ~t ~y ~ 19_ 69 , and ! rald~ a1 -1306 iLth •~!t ~L_; ret ~ (StrMt a~d Nun~r) FORT MHtCE„ SAINT LUCIE GOUNTY, RORIDA . . and thi: :tatem~nt i: ro be taken as +ny dsdar~tion oi atusn~hjp. actual Ipa! r~sid~no~ u~d domidl~ In th~ Stat~ of Hotidi. pr~sert hero any putinsnt facn, wch ~ ~af~ of properiy or 6usin~ss, cr nlinqui~nt of ~mploym~r~t - at fornwr domldls, rwrwval of family b n~w domicil~, i~+rd+a+~ of har+~. Ne.} J~ ~ _ ~ F1LE0 ANO.RECO~i . L~~ • 3~ tati ~T. l~ CIE C~UNI'Y,p~' . J ssa ~ ~..CORD VERIFfEb ~ Nua B T ~ i~ . . ~ J. ts . nssa '69 MAR 26 AM 10 = 22 } _ . . . . ROG~R• POtT. RAS , - CLERK CIRCUlT COUST; , , . 1 FURTHER CERTIFY thst 1 wili aompty with di a~F~ nqui~K o# a Ipa! ndd~nt of this Stat~. I FURTHER CERTIFY that i hsve ro intention ~o ~etum to my domicils, ~nd 1 i~tend to n~rsain ia FORT . PlERCE, Sr41NT lUCIE COUNTY, PLORI~A, p~rmanently. X • . , . tNam~) 1306 ~o. 14th. at. Circlt - . _ . Wddr.a? • Sworn to and wbscribed bsfor~ rrw this dsl? ~ 19~~. . ~:1• • Ilt ~ ' , ~ t~~;.j Rocfrt romus = ~`~a~~~~ • ~ f S . ;.,,,,g_4_ , GRCUR CO1/RT _ ~ - ~ ; t:. ~ p~k . ~ - `~F . _ ~ ~:C.°' , ~ ~ ~~€Coinrr~i:sion ~ocpir~s - ~ ~ 1 ~ ~ ~ ~ ` . .L '.V : . ':t' i•,~•.. , ~ ~ j . ' •~~~~M~, t~/ ~1 . Re b~ ~orawl~d iu ~.awd ~+i~Mal ~l ~kl~ Ci~d~M Gw~, an~ i~1ia1~ wid~ Tavc Aw~Nr~ 1 rrrtiii d0 K~~ P~ A .~ILJ r~ , ~ - - ~4~ ; - - - - - - - ~