HomeMy WebLinkAbout1853 O~ealaratio~t of ~on~lail~ ~d Citis~siNp
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TO TH~ STATE ANO COUNTY tI?X ASSCSS~OR. - - - - _ - - - - -
51. IUqE CCai+~dTY. FLORIDA:
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Thi; it m~r d~daratio~ of Oomidl~ a~d CiH~nship in ti» St~t~ of Flcrida that 1~m Nlinq this d~y_ in aooocda~~a and
in aonformit1? with Chaphr 22Z. S~ttion 2Z2.17, Horida Statuhe. .
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i we~ l~ormuly + Ipal c~
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and i tasidsd at .~.1- T~- / o~L~ ti /Y ~ ~ . Howww I haw charp~d my domki~
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to ~d am a~d haw b0~ a bona fide hsid~t of fhe StaM of Fbrkls sinos ~ L 1•.• .~y ~ .
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lORT sAMIT ~t~C~ COtlWTY, lWRIDA .
a~d this st~temsnt is to bs taken +~s my deda~stion of dtimnship, actual Ispal residenoe and domkil~ in ths Sht~ of Horida.
pn:srt here any pertinent facts. wcw as sal~ of pnoperty ot busin~ss. or relinquishm~nt Qf ur~ploym~M ~ ~
at former domicile, romovsi of family to new domicile, purd~ase of har~e, etc!),_~ , _
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~ ~ ~ FIL~~ ANO RECOIiD~O~ -
SY l.l1C1E COUNtY, FLA.
. REC(fR VE~{~+EO
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. . - ROG~~t PpiTRAS -
- CLERK CIRCUfT COt~Rt•.` - -
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~ i FURTHER CHtTIF1f that i yvtll oompiy with all othsr rsqui~b af a Ipai ~id~M of thi: Stat~.
1 FURTHER CERTIFY that I hsve no intention to retum to my formet domiple, snd 1 intend to remain i~ FORT
PI~RCE. SAINT lUC1E COUNTY, FLORIDA, pe~mane~dy.
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l o.~ Z~ TRi A•~G~ .a ' _
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~end wbscribsd before me thi: cJay bf 19
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