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Deciaration ot Don~icile and Citizenship `
18814,, ~
TO THE STATE AND COUNTY TAX ASSESSOR. !
'
ST. IUCIE COUNTY, FIi~RIDA:
This is my declaration of ~omicile and Citizenship in tha Stata of Florida that I am filing this day in aooordante and i
in oonformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of ~0~311C TQAQ.
(CitY) (State)
and I resided at _415 Tili~na . However I have changed my domiti~e
(Street and Number) s
~
to and am and have been a bona fide resident of the State of Florida since sth day of
J ~~ary r,~ r~ 405 Hernando Dri~~
_
-
(Street and Numbe?)
FORT PIERCE, SAINT tUC1E COUNTY, RORIDA
ana ii?is siaiement is to De fiaicen as my tieciaraTion of cifizensnip, acTUai iegai residenca and ~arnieiie in ii~ State af Horida.
(Insert here any pertinent fads, such as sale of property or business, or relinquishment of employment j
at former domicile, removal of family to new domicile, purchase of home, etc.)
i
~
~ntering children in school i
william E Aguilasd in the llth grade
Robert in the 9th grade
. ~
.
FILED A~~D RECOROED
g;, ~UCIE COUNTY, FLA.
~~-r(~R'' ~tF'EG
- 188145
I'' i 2~ io : 2y
~ ~TO ~rt
, ~
~ -.c~e~~ ?~~t,Rr,~c
~ CL~RK ~IRC~'~T COURT
I FURTHER ~ERTIFY that 1 will oomply with all other requiremenit of a leqal reaident of this State. ~
~ _„~~,FURTHER CEEtTIFY that I have no intention to retum to my former domiGle, and I intend to remain in FORT F
i
~ PIERCE;.SAl1+IT ,LUC)E C~UNTY, FLORIDA, permanently. ~
~ . . ~ !f ~ ` rJ,' . ~f . ~
~ ' . - ' , ~
~ _ - - Ma~~
~ . ~ _ : : - B~elyn L. Lee ( ~lra Charles Lee )
~ . . ~ ;;r`r~r`~,:
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~
..5 . ~ ' .r J~ y l~'~ ~
r y
~ ;t~ Y ~F,~ dress
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~ Swotn t~'bnd subscribed before me this 12*h day of Jsauary ~~q 70
~
~ ROGER POITRAS
~ CIRCUIT COURT Notary Public
~
By D.C. . My Gommission expires
~
~
~ (To b~ ~x~cut~d in dupliuf~ and ori~inal fil~d wifh qorlc Cirark Court, and duplicah with Tax Ass~sror.)
~"r, ~
~ eooK Pa6E 527 ~
~ No. ~ 3
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