HomeMy WebLinkAbout1650 ~ _ _ . . _ . ~ ~ _ - _
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Dectaration ot Do~ici!• and Cittzenship
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TO THE STATE AND COUNTY TAX ASSESSqR,
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Si, LUCIE COI~NTY, FLQRI~A: ~
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This is my deciaration of ~omicile and ptizer~ship in the Stu~ of Florlda that 1 am ttli~q fh~s d~y in ~ooordanos and
in oonformiry wit : Chapter 2~2, Ssttiott 2?x.17, Florid~ Statutes. _ r -
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I was forrt?sriy s Ipal r~sident of Athel'ls. ~
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S29 Westview Driva ~ ~ - :
and 1 tesidsd at ' Howwsr 1 haw chaipsd mY dorr~it3k _ .
(Streat and Number)
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ro and am a~d have been s bona fid~s iesident of t~ State of Ftorki~ sinas = ADTil day ~ ;
19~ and i ~eside at 316 Holly Avenue `r
(Street and Numbe~)
FORT PtE1tCB, SAINT tl~CIE COUNiY, FLpRIDA ,
end thi: stetement is to be taken as my deciaration of atuenship, actvs! le9a! residenoe and domitile in th~ Stst~ of Horid~. ~
pn:ert her~ any pertine~t fads, wch es sale of property or business, or rolinquistunent of employm~nt
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' at formsr domic~le, removal of family to new domicile; purchs~ of iwn~s, etc:) =
. Filing !or homeetead eze~ption . ~
~ F'tIEU AND RECORO~Q ~
, _ ST• L.UCtE COI~NTY. F~Q..
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_ ~~E'Rlr=i~'D
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~R I 7 P~y ; y4
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, CZ-~RK Clfic^.Uf7 CUURT
1 FURTHER CEltTtFY that i wili aompiy with atl otF~ roquinrtanfs of i lepal'rotidsnt of tfiis S~ate. -
i FURTHER CER'fIFY that I have no lntention to retum to my ~orrnst e, a ~ to r~main in _
PIERC~ S~AINT LUClE ~CK1f~3TY, H.ORID~, ~asmar~tty. , =
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Gsorge goor
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~ ~"i o~ind :ubsuibed befote me this 17 ~y ~ YBTCh ~ 19--?~- -
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