HomeMy WebLinkAbout1832 O~aluaNo~n ~f Do~n1a11~ and CitlsMShlp
1~.58
TO THE STATf AND COUNTY TAX ASSESSOR, ~
Sl. ltJC1E COUNTY, FIORIDA:
Thii is my declaration of Oomicif~ ~nd GitinMShip in th~ Sta~~ of Horid~ that 1~n+. Hlin~ thi~ d~y i~ aao~orda~a and
in conformity with ChaptK 22?, Settion 2ZZ.17, Florid~ Statuhs.
i wss formerly a Ipsl resid~nt of ~?rnegat ~iew Jersey
~ . (~itY) ~ (Stah)
and 1 rosidsd at I+Op@r Shore 8oad Box 155 my domiya
~ (StrNt a~d Numbe~)
ro and am and have been e bo~a fide nsid~nt of ths Stab of Fiorida sinoe llth ~y ~
, 19 70 , and 1 roside at 1011 B@8Ch COUrt
(ShNt and Number)
1'ORT N~CE, SAINT LUCiE COUNTY, RORIDA
and this statement is to- be taken as my declaration of citizenship, actual Is~al resid~no~ and domidl~ in the State of Horid~.
(Insert hera any peninent facts, auch as sale of propsrty or business, or nlinquishm~nt of employmeht
at former domicile, romoval of family to new domicile, purchase of hom~, Nc.)
~ Entering ltancy Jo Sirvent in the 7th grade -
" John Frank in the 6th grade
. . FIlEO ANQ RECORDEO `
ST. LUCIE COUNTY~
~ n~CORD VE 1 !
- - , ~~5g ~
lQ AUG 2 S Pp 3: Oq
C~ .
CIERK~ i~ ~O~TRaS
; ~ aCUtT COURT.
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1 RJRTHER CHtTIFY that i will oomply with all othsr nquinm~nh o~ a lepal r~sid~nt of this St~h.
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~ I FURTHER CERTIFY that 1 have no. i~tention to retum to my former domiCile, and 1 intend to remsin in FORT
PIERCE. SAlNT LU~IE COUfVTIf, FLORIDA, pe~manently. - . ~
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; L'G•~
- - _ ~ ' ` ~ " Joan Eli~abeth Sirvent ( Yrs John
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j~ •.~3 ~i' yi~~~~~~;: ~ , (/?ddress)
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~~~wbsuibed befor~ me this 25th ~y of Auguet 19 ~0
. ~R~
ROGER rO1TRAf • .
C~CWT Notary Publk
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By D.C. My Commissbn expi~
(T~ 1» ~x~whd ia du~Wcal~ and ~i~inal Rlsd wMb CIMIc Cin~it Gwt, ~ad d~pNaN wMl~ Ta~ A~~a
aooic 1&'i r~cE 1829
No. 13
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