HomeMy WebLinkAbout1862 o~a~uat~ ot oon+~au~- a~ Cias~ 15?`7~'78
TO THE STATE ANO CCKJNTY TAX ~ ASSESSOR. _
Sl. UJCIE CQUNTY. FlOR10A: ,
This is my d~cluation of Comicil~ and Ctti~ship in Nw St~n of Florida that I am filioq fhis d~y i~ aooordana ~nd
in aonformity with Chapt~? 42Z. S~ttion 224.17, Horida Statuhs. _
~ w•: tormK~r • ~.qa~ r.sw«~r of Pittsburg - Poans
~ (Ci~y) . lSt~t.)
and 1 resided et 831 8th at HovwvK 1 h~w chu~d my domWi~
(Stn~t and Numb~~)
ro and am and hsve bean a bona fids roiid~nt of the Stst~ of Florida s~nce _ 2 S th ~y ~
Yav ~~q ?0 i~~ n~ 179 I~anohuret Port St. Zucie
(5treat ~nd Numl~r)
~ORT MERCE, SAlNT WC~ GOUNTY, RORqA
and this statement is to be taken as my dsdar~rtion of titi~snship, actual le~al residence a~d domidle in th~ Stat~ of Horida.
(Insert here a~y peninent fads. such +~s sal~ of pnoperty or businass, or rolinquishmsnt of ~mploym~m
~ at former domicile, removal of family to new domicik, purcht~se of horr~s, eft.)
~ntering 8arry D Yaz~ell in the 4th grads
~ Douglas in the lst grad•
; ~p~p -~p-RE~_ . _
ST. IUCtE COUN't1f;.~~
~ ~ RECORp VERIFfEp.
. . - 19~~g.
~ ~ ~ ~to ~ aa a~ ~ ~ ~ i .
~
- ~CLERK CiRE~IT COUR
~
~
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y
[ • , -
. I FURTHER ~HtTiFY that 1 wili comply with a{I o~ ~puinrrwnts of a Ipal r~tid~nt of thb Stai~.
I FURTHER CERTIFY that 1 have no intention to retum to my forme~ domidle, and 1 intend to romain in fOaT
PI~ SAINT LUCIE COUNTY, FLORIDA, permanently. ~
~~~~N:~+ri~~;;~~=:~ i~%~
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~ s4} Harry D. lLa~well ,
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F ~j~ s ~ .
- , ~ ~ S~ ~ ~r f ~ K.y ~
~ ?5'-ri~; ~ .
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. v t:" r~~~~.•;_. - 26t11 A11811,s1'r 19 TO
_&woth~to and wbsaibed b~fore me this day of -
ROGER ~OITRA~ .
CKCtNT C011RT Notary Pubik
a~c~-c-~ ~p~ti:,~l.~i D.C. My Commisston ~xpin~
(T~ b~ ~oaaN~ is ~lieal~ a~d ~ei~L~~i fiMd wil~ Ciwk CMwN Gw1, a~i ~lia1~ wiN~ t~ot A~wrJ
a~1~ ~1859
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