HomeMy WebLinkAbout1906 O~aiuaNa~ o~ oomiau~ and CINsMSh~
TO THE STATE ANO COUNTY TAX ASSESSOR,
S1. Li~i~ CO~JNTY. ftORiQA: ~
This ls my d~clu~tion of Domidl~ and Citi~ship tn th~ S~~t~ of Horida that 1 am fiN~q thi~ day i~ ~ooordana a~d
in aonfamily with Chaptu 22:t. Sation 222.17, Florida St~tut~t.
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1 was formKly s Ipal ~ids~t of
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s~d 1-roskled at _ . . . Howavu 1 havM cha~q~d my domkil~
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to and am and haw bsen a bona fidf roskl~nt of the Stat~ of Flotida sina day of
, 19 , and i r~sid~ at
- (5t~t and Numbar) ~
lORT ~AINT LUCtE CONNTY, ROROA
snd this statems~t i: b be ~taken a= my dedaration. of dti~oa+ship, adusi layal re:idenos arxi domidl~ in th~ Stat~ of Horid+i.
pns~rt hero any pe~tinent facK, :uch ~ sala of prop~rty or business, or nlinquishmsnt of empla~rrr+~nt
~ st forrr~sr domldl~, rsnwval of family t~ new domicile, purchsse of horr~, ~tc.)
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- F~LED ANO RECOROE9 ~
y ST. LUCIE COUN1'Y~ ~'tA, .
. . RF.CORD V~RiFI~b
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Q 10 JUI. 1 A~! 10 : 37
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P
~ ROGEq p01TRAS~G
_ CLERK CrRCUiT COURT=
I FURTHER CERTIFY that I will oompiy with ali other roquir~nts of a lepel raid~nt of this Stats.
I FURTHER CERYIFY that I have no intentwn to retum to my former domiCile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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; ~G.':~4}~yv • `j , , ,bsd befor~ me this day of
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8jj•• • .C. My Commission ~xpiros
R~ b. ~oc~ar~i M d~pNea. ~I .ei~a.i til.d w1~h Ct«ic CMaiit Cowt. a~d dvpiial. wilb T,ioc A«.~~J
~ Sa~185 ~~1~.7,
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