HomeMy WebLinkAbout1841 ~ala~atlon o! Oomiall~ aed CItlsMShip
TO THE STIITE ANO COUNT1f TAX ASSESSOR~ ~
Sl. IUCIE COUNTY, flOR1~A:
Thi• is my d~cl~ratio~ of Oomicilt ~nd Citis~nahip In ih~ Stat~ of Fiorida tMt 1~~n fllinp thts day in accord~not ~nd
in oo~formt~y with Chapte~ 2~2, S~ttion 22Z.17, florid~ St~tut~t.
1 was formKly a i~qsl ~aZdMt of -1~L.l~eAa~ - .
Kity) t~a .
and 1 resid~d st ~ ~ ~ HovwvK 1 haw cfiu~p~t! my domidl~ ,
(StrNf and NumbK)
to a~d ~m end haw baen a bona fide rosident of ths Stab of Florida :inc~ ~.~StL3 d~y of
, 19 7O and 1 retid~ ~t ~
~ - +h
'and Numb~?) ~~,~,~,a;~Q~.
l~ORT N~C~, SAINT LUCIE COUNTY, RORIDA
and this atatement i: ro be tak~n as my ckda~ation of citiz~~ship, actud Ipa! residena and domidl~ in th~ Stat~ of Horida.
(Inaert here any pertinent facts, such as ssie of proparty or busine:s, or ~eiinquishment of emplaym~M ~
at forme~ slomicile, romovai of fsmily to new domicile, purchas~ of homs, ~tc.) ~
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~ RIC~O`~ANp RECOR~~
. ~ ~T. ~UC~E. COUNTY.`fti~1.,
~ - - RECORD VERIFIEO
` 19`7666
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~ '10 AUG 25 PM 3: 36 ~ -
p~
ROGER POITRQS
~ CLERK CIRCUtT COURT~ .
1 RJRTHER CHtTiFY ihat 1 will oomply with all othsr nquirom~nri of a Ipal r~1deM of thh Stat~.
1~ FURTHER CERTiFY that I have no intention b return b my former domicjle, snd I~inten~ b remain in FORT
PIERCE. SAINT LUCIE COU(VTY, FLORIDA, permanently. .
ldre. A. P. Bryant, Sr.
a . P. . .
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J SwQC~ to and wbscribed bsfore me this ~ day of ~ 19 7 L.
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; Notary Pubik
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By ~ D.C. My Commis~on ~xpir~s
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, ~~,~u~licaM awr ~rioiMl AI~I wiN~ CM~k CiraiM Cwer, aua i~rMiieaN wMM Tax A~~a
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