HomeMy WebLinkAbout1825 - O~lal'aN011 Of OOi~tial~~ s11d CKii~shlp .
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TO THE STATE AND C~OtJNTY TAX /RS.SESSOR~ ~
Sl, tl1CIE COUNTY. FLORIDII: ~ :
This b my d~daration of Oomidl~ ~nd CiN~nship in tM St~ts crf Florida th~t ! am Hlirp this day i~ aooorda~a and
in aonformit~?. with ChaptK Z2Z..S~ttion 2ZZ.17, Fiorida Statvl~. -
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1 was formKly a Ipai rosid~nt of Clsirtoa ~ Po~• .
- - - (CitY) (Stat~) ~ ~ .
and 1 ro~ided at 110 Sh~~ St. _ 1bww~r 1 hav~ charp~d my d~+idl~ -
(Stn~t and Numb~r) ~ - -
ro a~d am and have been a boria fidi rosklsnt of th~ Stat~ of Horida s~nos 3rd -~y
~j,jirs , 19~Q, and ~ nstds at ~15 Camiao St.
~ (Stn~t ~nd NumbK)
~ORT NQC~. iAiNT L11C~ C01N~T~f. RoRIDA -
and thi: stat~rNnt is to bs taken as my dsds~ation af ciNmrt~ship, actuai le~sl resid~na ~nd c~omWl~ in the Stste of floriid~. .
(Insert hsre any pertinea~t facK, wd~ as sale af property or business, or nlinquishmmer~t af employm~+it
, at tormsr domkile, ronwvel of family to new domidk, purchase of-home, etr.) ~ ~
" . ( Eetablieh xeeidoncy )
- ~ F.IIE~ AN0 RECORO~Q -
' SY. LUCIE COklNT1f: F~LA•~ .
! ~ - €2FCaRD_VER1F1~~} . -
- . ~95559 '
~ ~70 JUl 6 AN ~~10: 53
; - . P~R ~
~ . ~ ~tOGER FOITRQS ~
CLERK CIRCUIT COURT;
~ ~
i FURTHER GERTIFY that I wlll oomply with ail othsr nquinirrrNs of a ipai rosident o~ ~his Sbi~. '
1 FURTHER CERTIFY thst 1 have no intention to retum to my former domidle, and I intend fo remsin in FORT
, .
PIERCE. SAINT LUCIE COUNTY. FLORIDA, permanently. J a W. $gll
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Sw~orn to ~nd wbsuibsd before m~ this 6th diY du~y . 19 70.
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_ _,t,~ ~~-gT.-~;.t~_ ~i85 ~1826
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No. 1 i
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