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DBCLABATION OF DOMICILB AND CITIZBNSHIP
~30333
TO THE STATS AND CODNTY TAR ASSBSSOR,
ST. LUCIB OOUNTY, FLOBIDA:
This is ay declaration of Domicile snd Citizenship in the State of Florida
that t a' filing this daq in accordance, and in cooiforsity vith Chapter 222,
Sectian 222.17, Florida Statutee.
I vas for~rerly a legal resident of Annandale, Virginia. Hc~vever, I have
changed ay donicile to and aa and have been a bona fide resident of the State
of R~orida since the 8th day of Kay, 1972, and as soon as I fiais6 ~y
nilitary service, I expect to establish re~idence at Lot 17, Block 1687,
Port St. Lucie,~Port St. Lucie County, Florida, and this stateaent is ta be
taken as my declaration of citizenehip, actual legal residen~e and da¦~icile .
in the State of Florida. ~
I have purchased Lot No. 27 of Block 1687 at Port St. Lucie, Florida, and
expeet to reside thereon.
I further certify that I will register at my local addrees as soon as prac-
ticable and comply with all _:other require~enta of a Iegal reaident of this
~ State.
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~ I further certi.fy that I have no intention to return to aiy forner
domicile and I intend to remain in Port St. Lucie, Florida. permaaently.
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OTTO P. CHANSY
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7747 Donnybroolc Ct.,
' Aanaadale, Virginia
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I Svorn to aad subscribed before a~ this ~~~3
~ fItEO A1tD RfCpRp~
~ day of May, A.D. , 19~2. iT.IUCiE COUNTT /L~,
AOCER POfTRA~ ~
~ " CIEAK ClRCU11 Cdl! ~
i ' IlECORO V£i~li~FO....~.~ ~
, '~~C s ~ ~r ~ 9 0~ 1M'7Z
Authbr d t perfor~ acts of Hotary
Publi er Florida Statutes,
SQCtioas 90.011 and 695.031
.~'O~v /iv PD r7,E~z a ~
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