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Declaration ~t Domici~e and Citizenship ~ ~
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. IUCIE ~OUNTY, FLORIDA: -i8a~i ~ .
This is my declaration of Domitile and Cttizenship in the State of Florida that I am filing this dsy in aooordanos and
in oonformity with Chapte? 222, Sectio~ 222.17, Fiorida Statutes.
1 was formerly a legal resident of Lynnf ield l?l~ss.
(Ciy) (St~te)
and 1 ~esided at _ 17 ~unipl.'t 3~Oi~ . However 1 hava changeo my domicile
(Street and Numbe~)
to and am and have been a bona fide resident of the Stste of Florida sinoe and day of
July ,~q 69, and I reside at 301T Oterbroo~ Drive _ Pt. st. Lucie
~ (Street and Number)
FORT W~tCE, SAIl~lT LUCIE COUNTY, RORIDA _
and this statement is to be taken as my declaration of citizenship, actual legal residence ar~d domicile in ~he State af Florida.
(Insen here a~y pertinent facts, such as sale of property or business, or relinquishment of employment ~
at famer domicile, removal of family to new domicile, purchase of home, etc.)
Bntering Brenda Lay in the 7th grade
~
F1LEU aND RECOROEO
<<'. ~JC~E COUNTY. FLa.
Bstabiishing residence • ~.'=oP`~ `J:-~rir`~ri
1838~1
~ '69 6 ~1 f~: 52
- : ,
. :ry ,OITR:.S
(:~ERK ~IRCUIT CbURT
~
i
f THIS I3 A t~ORRBLTIVB OOPY (RB: O.R. B~OIC 1T9 page 2580)
Correction of iddreaa
I FURTHER CERTIFY that I will comply with all other rsquireme~ts of a le~al resident of this State.
I FURTHER CERTIFY that 1 have no intention to retum to my former domicjte, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
. ~
(Name)
xooaro~ w¦. Dunlop
301T Oterbrool~ Dri~~ T Pt. 3t, Lucit
(Address)
Sworr~-tp ~~.:~t~aibed before me this 6tb day of OCtObe= 19 69
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:~.~RK "clRCU1T ~01hl1`~~ Notary Public
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By ~ O.C. My Commiuion expires
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