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HomeMy WebLinkAbout2016 • O~luatio~ o~ Domlatl~ a~d Citls~ship _ ~ i8`?'~?'g ' TO Tii~ StATE ANO C'OUNTY TAX ASSE'SSOR, ' st. IUCtE COUNTY. FLORIDI?: ~ . ~hb i~ iny d~clu~tioil of Domic~l~ and Citi~n~hip M th~ St~t~ of Norid~ 1h~11 a~ filirq M~b ds~r in aooo~da~a and In ao~formity with ~hapf~u 4~2, S~ttian ~2~.17. Norida Sqtu~. . y ~ ~~l~~~t~_ ~ ~~lerida 1 wa formwi a n~W~M of ~ _ K~1~~ • ~ ~nd 1 nsW~d ~t Z~~2Yal~rQi: strA~t , - Ho~wrwr 1 h~w d~q~d m~r domkil~ ~ ~ R~~t arw! Nwrib~r) to and am and haw bNn a ba+s fid~ e~idint of thi Sqi~ of Horida sMa ~~t - d~1? oi ~?~brua,r; , 19~~, and 1 n~id~ a~ 156 w,$rima Vist~ ~ ~ ~ (S~n~ ~nd Nu~~? . l~ORt MRC~, ~AW? LUCI! CO~NTY. RORnA _ ~ and thts uat~rwnt is b b~ takas as my d~daratior~-of dti~fiip, aclwl 1~_~i~o~ and don~idl~ in th~ Sfat~ of AewWi. pr~t h~n any putin~nt facts, wd~ a sal~ o~ propwq? or bu~. or nli~qui~k of ~npioynw~t ~ = ~t larr+~ do~nidl~ ~rwval of family b n~w don~idl~. PurdwN of horr~. McJ ~ _ . ~ . _ _ _ . . _ ~ - ~ ~ to enter childrea ia eohool - - - - ~ : ; Fli;it- _Q~ANO R~(~ . . . ' 8'T. 4UGt! COv~r*~~.~ls~ . . ' ' . pECaRp VERtFi~p ' - ~ I.anc~, Spragus 6 _ 1~~'~c,~ ~ - Andre,w spregns 8 Z8 PM f: 3~ , _ _ , Soott $pr~gue 11 - - - AOGER PpITR~~ ~ C~RK ~1RCUtT COUR~ t' - - - ~ ' . ~ - ` ~ t FURTHEit GBtTIFY th~ 1 wlil aompllr wttli ~p cM~ nquiewr~M~ of a{p~l iw~id~~t of thb Sq~. I fURTHER CERTfFY H~at t t~v~ no 1M~ntion to trtun? b m~? tormK donnidl~, ~nd ! iM~r~d 1o hrr~in in FORT PfERC~ SAlNT UKIE COllNTY. FIORlDA. Pw~~Y• - ~ . - - - ~ ' • ~ ~ ~ -156 t Pr mg Yista - t~a . Swom to;and~:wbsaibrd b~for~ m~ this ~ 28~t1+ ~_i ~suat , 19~.... ~a;•~i.. ;~2 t!~!)~1 tf.'~c"; ~ 1 j'~ ~ y ' ~,i"~-:`^ . • s ~ ~ ~ ~ ~ ' ` ~~f ` CI~CWT :OOt~i~'.=;~ . Notary P~bik . - ..r 3 ~ : ~ _ ~ ~4 ` M~? Coen~r~bn s~cp~ - • r~.?~;,. _ . ; _ .I~~'.~~~•- . ~,~~.s__,-l. _ t z . . ft~.S~ ~ ~ ; . . - • . (Y~•~ . , ~ _ • ~ ~iW i~ M~IIi~ ~ ~ CIM~ ~ ~I~i M+ ~11'~NN M~ Zrt wMMMf.~ . ~1$6~~?~~ . . ~..,3 F ~ . . - - - _ - ut~