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Deciaratlon ot Oomicile ~nd Citisenship
TO THE STATE AND COUNTY TAX ASSESSOR. ~_84445
51. LUCIE COUNTY, FLORIDA:
This is my declaration of Domicite and Citizenship in ths State of Ftorida that 1 am filiny this day in aooordanos and
in oonfwmity with Chapter ~22: Section 24?.17, Florida Statutes.
1 was formerly a legal resident of ws~erley Obio
(Ciy) (Stafe) t
r
and 1 ~asided at ~8 St .~ary' i Liae . However 1 have charpad my domiCile
(Street and Number)
to and am and have been a bona fide resident of the State of Florida sinoe 1Stb day of
Octobes ~ 19 69~ and I restde at 2213 Soltth 40th street ~
(Street and Numbsr)
FORT PI~CE, SAINT ltlClE ~OUNTY, FLORIDA
and this statement is to be taken as my declarotion of citizenship, actual legal residence and domicile in the State of Ftorlda.
(Insert here any pertinent fatts, such as sale of property or busineu, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Bstablishing reaidence
8atering Robin Lynn Bstep io the 2ad grsde
FILED AHO RECpRDED
S7 LUC!£ COU11iTY~ FLA.
18~~~~5~'
'69 ~^T 20 A~i 9:38
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CIEE~K CtitCUlT COURT -
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I RIRTHER CERTIFY that 1 will aomply witfi all other requirements of a Issal reaident of this State.
t_ ~111RTFIER-GER'TIFY that • I have no intention to retum to my former domitile, and 1 intend to remain i~ FORT
- - - -
PIERCE,y~ ~T~L'dCIE COUNTY,.~LORIDA, permanently.
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. . Phyllis Jeaa Dillow ( !~lrs lilla. ~
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, Sworn to and subscribed before me this 20tb _ day of ~tObet ~ ~q 69
. ~oee~e romu?s
CIRCUIT URT Notary Public
By d~~~ D.C. My Ca~mmiss'ion expires
(To b~ ~c~evhd in duplieai~ snd oei~inal Al~d will~ Clwlc Cirarif Cour1, and duplleNr will~ Tax As~~a
~ aooK180 ~~E1535
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