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. Deciaratio~ .of Domicile and Citizenship ~
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TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. lUC1E COUNTY, FLORI~A:
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in accordance and
~n conformity with Chapter 222, Section 222.17, Florida Statutes.
Ankora e ' Alaska
I was fo~merly a legal resident of -
(Ciiy'~ (State)
and I resided at 3801 Artic SpBC@ 'S'S However 1 have changed my domiCi~e ~
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(Street and Number) j
December 3~
to end am and have been a bona fide resident of the State of Florida since day of
~0 69 • Shinn Road - Indian River Broves
~ (Street a um
fORT PIERCE. SAINT LUCIE COUNTY, FLORIDA
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and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of No~ida. j
(Insert here any pertinent facts, such as sale of property or business, or ~elinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Entering children in school - Todd Wayne end Lisha Chrmayne McDonald
F(lED AND RECORDED'
ST. LUCIE COUNTY. FL~C.
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~ - tED
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` '10 JAN 6 Ah~ 2 4
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~ CLLRK C!RCUIT COURT
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~ 1-RIRTHER CERTIFY that I wil) oomply witfi all other requirements of a legal resident of this State.
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~ I FURTHER CERTIFY that I have no intention to return to my former domiG~e, and I intend to remain in FORT
~ PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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~ ~ (Na e) Charles W. MeDonald
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~ (Address)
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~ SvVort~.w`and subscribed before me this 6th day of •January , 19 70
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~ ~ ~ l~6R POITRAS
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-CI~itK CIRCUIT COURT Notary Public
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~ 8y D.C. My Commission expires
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Yy
(To b~ ~xecutsd in duplicats and oripinal fitsd with Cle~ic Grcuit Couif, and duplieat~ with T~x Aswsso~.)
sooK1~2 P~~ ~.99
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