HomeMy WebLinkAbout2652 ~ • ~
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~tcla~atio~ ot ~o~niail~ a~d Citisenship s
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• TO TNE STATE AN~ COUNTY TAX A~SSESSOR. ' . ~
Sl. LUCIE COUNTY. FlOR10A:
This it my dacl~r~tiwl of Oomicil~ •nd Gltis~nship in t~ St~t~ of Horida th~t 1~n filinq thft day in ~oootd~no~ N~d
in oonformity with Chapt~r ~Z2, S~ttion 22~.17, Florida St~tuty.
I w~s form~?ly a Ip~l ~~sidsnt of - FA~R NA~e'nl _ ~ N~'N1 J~RS~1t
' (Cjty) (Stat~)
•nd 1 r~sid~d ~t _~'F G~~ ~~'s PI A J~'. - . HavwvK I haw charp~d my domid~'
(Stn~t and Numb~r)
ro~nd am snd haw besn a bo~~ fid~ ~~s~nt of th~ Stat~ of Flor+da si~w ~ day ot
/rlAi! ~N ,.193~. ~nd I nside at 3o q~ P~•v~ 1/A 1.e.t`V s i
Q•Rt' si ~uti~t" ~ (51rMt a~d N )
I~ORt~liRiiy SAINT LUCIE COUNTY, fLORIDA
~nd this itatement i: ro be tak~n as my dedantion of atisenship, actuai Ipal rssid~no~ and domicil~ in th~ St~t~ of Horida.
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qn~n hsro a~y p~rtinent fact:, wd~ as Hit of propsrty or bu~~as, or nlinquishm~nt of ur~p{oym~m
at formK domicil~, nmoval of family b ntw domial~. purchas~ of twm~. Mc.)
homestead ~ . -
r :~~l~1CfE COUNTY i~A.
~ ~pa~p PO~TIU~
ctERK C~~?GUIT~COt11l~
_ RECbRO vea~FiEo
,MN 29 !1 oi ~'i 1
2a39g1 .
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~ i RJRTHER CERTIFY that 1 will com with ali othK r uir~rrwnri of a I 1~id~nt of fhb Stat~.
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1 FURTHER CERTIFY that i have no intention to r~tum to my formar domic~l~, and 1 intsnd to nmain in FORT
PIERCE, SAINT LUCIE COUIVTY. FLORIDA, p~tmansntly.
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. Charme T. . Bramley
(Acld~~u)
~ ~ ~9 January 71
,,.Swb4W 1q;~nd subsuibed b~for~ m~ this . day of 19 .
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• ~ 3 ~ r•r ~1 ~OYRT NOt~ry PNb11C
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8j~ C.C. - My Comrniuion ~xpirat
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R: ~Ifi iir~a».r iu d~plk.~. .ur .~i~ia.l A,.~ a?Mi~ a«Ic ciraif c.w+, «wi ~us.#. a,1d~ Tax A.......a
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