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. - r , - i ~ Oeciaration ot OomiCU~ atN~ Cttiz~nship . ~ ;f - ~~1~3 TO THE STATE AN~ COUNTY TAX ASSC3SOR. t ST. ItJCIE COUNTY. FLORIDII: ' : t ~ Thi~ i~ my d~ciaration of Oomkil~ a~+d Citi~n~lrip i~ th~ Sta» of Horida that 1 am filinp thi~ day in ~ooordanw ~nd- i~ oonformity with Chapter 222, S~etion ZZZ.17. Flotida Stahila. . ~ wu torm~~y ~ ~p.~ ~d«+t of ~li~toa~ili~ ~SQns~ ` K~ib) f~a~ and 1 rosidsd ~t S2 $ 8th How~vK i h~w than~d ~n~/ danidM (StrMt snd NumbK) b a~d am and haw bee~ a bo~na fid~ hsidMt of th~ StaT~ of Fbrida sina~ 13th ~nh ~ ~q~, ~ ~ ~ a412 Rofai PaL Driva _ (ShMt ahd Number) FORT riERCE. SAIN? tUC1E COUt~RY.1~ORiDA ~nd thl: :htatnent ~ to bs tak~n as my deduatbn of dtisa?ihip, actval Ipal residenot and domid{~ i~ th~ Sta» of HorWa. pnsert here any pertlneM fac~, wch u sal~ of pro~rty or Iwsin~ss, or reltnqui~n~ of ~niplo~ym~nt at fiormer domicit~, ~~navd o# family b n~w domicil~, purc~~ of twnr~. Nc.~ ` . . Bstabliabing resiaence - 1'?~61Q3 - . RIL.E~ AND RECORi?~Q~ , ~ . ST. LUCi~ COUNTY, RLi~. - - • ~ RECOR~ VERIFIED • ~ '69 t~R 26 PN -3:57 RO~ER ~O~TRAS _ ~LERK CIRCUIT COUR C~~,~~ € ~ f • ~ _ 1 FURTHHt CERTIFY that 1 will oomply with tll ott~K nquirNrwnts of a leq~l ~id~M of this Stat~. _ I ifdi,RTHER CERTIFY that 1 h~w no in»ntlon to rotum to my for+n~r do+nic~le, and i intand to nmain i~ FOI~T t PI _Ei;C~; ~'r~E COUNTY, FLORIDA, pwn~r?tiY- f.= ~ it { : f ' 1} r. •i~ s~~. . ~`-.L+~~.........;''.,3 '~t: ~VI` =~-`•'~~.r~~i1e'~.. /i °f ~ ~w~,•-.'1. . ~ ~ _ • ' • - • ~ ~ ' ` : ~ Re~. Carl A. Rieclt 'N ~ ~~'iF _ • ~ t'~~•Ytd;. f - • ~ ~ . . ' r`-a~ . ~ = ~ ~ U1dd~ • ` ' ~ . ~ . . . ~ ~~C j ~ ~ ' ' . . I ~i.~/ ~.,'.1~~ • . , ~ 19_~ • f ' +•,SeWOfffil0 i~ iY~tfib~ bf~Of~ fIM 1~1~ ~td ~ ~ ~=Cj1 . . ~ ROGER r01'iRAS - GRCWT OOtIRT No~ar~? P~lic gy D:C. My Con+inLsbn ~ocpins , . ~ ~ Qi w~oawl~d i~ Nyii~~l ~ wi* CIMk CiraiM Cw~y Tioc A~KJ aoo~1?~ ~~4 . - - ,~~i„..~,~~,~. y ~ - ' _ . _ ~ --r -