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To the Stote......a//~~~nd Co}uTn},t' Tox Assessor,
~_i~ i LL
_ ST. LUCIE COUNTY, FLORIDA
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This is my Declaration of Domicile and Citizenship in the State of Florido that I om filing
this dot' in ~ccordonce, and in conformiy with Section 222.17, Florido Statutes, as amended by
Chapter 26896, Lows of 1951.
1 was formerly o legal resident of ____Kinnelo~li_____________ New_Je~sey________
'+~e.ity stare
and I resided of _1.~~ Sr.~~tt=~ Hl~~ Road ___z_Kinnelonl_New Jersey____________
street and Number _-_-Snid City and State
However, I hove changed my Domicile to and om and hove been a bond fide resident of the State
of Florida since _th~_fizrsir------------- day of _____Ju11c__________-- 19,'d~.6.4,
and I reside at 115_St._Lucie Lan~L_RD ##4,_Stuarts_St=_Luci~_________ _ _
Street and Number City County
County, Florida, and this statement is to be token os my Declaration of Citizenship, actual legal
residence and domicile in the State of Florido. (Insert here any pertinent facts, such as sole of
property or business, or relinquishment of employment at former domicile, removal of family to
new domicile, purchase of home, etc.) We have sold our home in New Jersey and
have ~urchase_ real _estate in_ St. _Lucie County.__ We_recently_ comp-
leted construction of Qur_ri~~d_ hQm~_.~n_5~.~_~u~i~_ ~QDn~X= __ I_~etired
_from my former_em~loyment ih_ New_Jerse~r _and _intend_ to_ remain _in_
Florida permanently.__ We h~ye g)~~~i~ed _~_Florida_license _tag______
for our automobile.
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I Further Certify that I will register at my local. address when the registration books reopen,
and comply with all other requirements of o legal resident of this State.
I Further Certify that I hove no intention to return to my former domicile, and I intend to
remain in Beau Rivage__________________~_____ __ St=_Lu~ie __________
------- ---------
----- city County
Florido, permanently.
_ _ ____L1_ _____ ___ _ _____
Shelton Smoak, Jr. Name -Husband
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__
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Barbara P. Smoak Nome -Wife
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Sworn to and subscribed before me this ~ ~_ day WAR VETERANS -ALL WARS
`'~,~t: c"cc* j~ July ____ ____ _ 19'x_ 69 f Please Check
- --- --- 1 -Spanish American ^
+~ bry ~iblic,pr other Official taking Ac wledgment
:~ •_ ~: t v" - ~ • ~ Raitry Pultrr, Stat of Florida at Large 2 -World War I ^
=" •p (111x'C~arrti=,sign expires 1iAyt.Lommfssian~xilu~ lone 21, 1_97_0
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