HomeMy WebLinkAbout0413 ~ ~ 91,L 96
~ D~laration o~ , DomlQil~ a~d Citis~nshlp ~
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TO THE STATE AND COUNTY TAX ASSESSOR,
Sl, lUC1E COUNTY, FIORI~A: -
Thi: i: my d~clu~tion of Domicil~ a~d Citiur~ship in th~ Stat~ of. Florid~ that 1 am filin~ this d~y in aaoordana ~nd
in aonformity with Chapt~r 2~2. S~ttion 22Z.17, flo~id~ Statuhs. .
1 was formKly a Ipsl res~dent of ~lbany iew York ~
~ (Ciy) ~ (Stat~)
and 1 rosided at 14 Or101s A~s • . F1cw~vK ! h~v~ chan~d my domidl~
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b and am a~d. heve been a bona fide rosid~nt of die Stat~ of Florida sinoe l~~ dsy of
J~y , 19~_, and I rosid~ at 3804 ~ve P
~ (Stre~t and Number)
l~ORT SAM1T LtICIE CONNTY. RORIDA ~ .
and this statement i: to be taken as my declaration of dtizenship, actual ieyai residtnos and domicile in the Staro of F{orida.
(Insert here any pertinent facK, such a: sale of property or businas, or rolinquisF+m~nt of empioym~nt
st former domicile, removal of family to ~ew domkile, purchase of home, etc.) .
Setabliehing reeidence and will apply for hoa~estead
- ' Ftl.~p AND R~CflRDEC' ~
57:~ II~CtE COUNTY, FLA: :
R`Ct?RC VERIFIEp ~
19f~96
. 'l0 JUL 30 p~I ~ g
_~70
RO~CR POITRAS
CLERK CIRCUiT COURT.'
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f RJRTHER CERTIFY thit I wi11 'oomplY with sll otF~ nquiro~n~n» of a Ip~l nsident of thk Sht~.
I FURTHER CERTIFY that I have no intention b retum to my former domi~jle, and 1 inte~d to remain in FORT
PIERC~ SAlNT~~.COUNTY, FLORIDA, permanently.
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: ~-~?'0-`~~~Y'~ o Hugh P ~YcBamara
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, Sara Y~Hamara
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~~Svi~~~ro end subscribsd befor~ me this 30th ~y af July ~~q70 .
RO~iER ~OITRAS
COtIRT Notary Publk
8 D.C. My Commiuion ~xpir~s
(Te b~ aaaM~d iw d~pWca1~ snd ~ei~iwal Al~d wNl~ CIMIc CiraiM Gw1, a~i dupfkal~ will~ Taoc A~ra
dooK186 _412 ~ ~
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