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Declaration ot Domicile and Citizenship ~
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TO THE STATE AND GOUNTY TAX ASSESSOR,
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ST. lUC1E COUNTY, FLORIDA:
This is my declaration of Oomicife and Citize~shi~ in ths State of Florid~ thst I am fili~p this day in aooo~danos a~d ~
in oonformity with Chapte~ 222, Sec?ior~ 222.17, Florid~ Statutes.
1 we~ forme~ly a legal resident of Ringston Penn.
. (~~ry~ tSts»)
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snd 1 resided at 473 Wyoming Ave . i}~~ my domidle ~
(Stroet and Numbe~)
ro and em and have been s bona fide msident of tM Stats of Florid~ :inoe 23rd ~y ~
Ti~ne 19_6.~., and I roside at ~ 566 Thumb Pt. Dr.
(Stroet snd Numbst)
FORT ~IERCE, SAINT LUCIE COUNTY, RORtDA
and thi: statement is to be taken as my declaration of citizenship, actual legal residenoe and domidle in ths State of Horlda.
(Insert he~e any pertinent fact:, such as sale of properry or businesi, or mlinquishment of smp{oyment :
at former domkils, romovsl of family to nsw domicile, purci~ase of honr~s. ~tc.) ~
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(Homestead Exemption) ~
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I ~ Fl~ED AND RECORDED' `
I ST. LUCiE COURTY, FIA. ~
~ . :=:_CO?:s `1FR#=!~p ,
' 190614
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~ '70 t~'~R 4 At~ 9: 37
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' CL~Rx CiRCUlT COURT: .
~ 1 FURTHER GHtTIFY that I will oomply with sll othsr nquiremsr?ts of a leyal resident of thls State.
I FURTHER CERTIFY that I have no intenYwn to retum to my fprmer domicjle, and I intend to ~emain in FORT
PIERCE, SAINT LUCIE COUNTY, FtORIDA, permanently. plbert E. Riggle ~
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~ ~ (Name) ~
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~ ~566 Thumb Pt. Dr. '
~ (~4ddres:)
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- Sworn to and suburibed before me thi: 4th day of March 19 70 .
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~'~E~N~ojfs~?s
`~n~ f~b T • Notary Public
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gy - _ O.C. My 4ommisi~on expires
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d,:~~ ~ iut~ and orininal ~il~d wf1i~ Cl~k Grwit Cou~, and dupli~ah with T~x AsNSwra ;
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. aooK183 P~~f ~93
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