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Declaration ot Domicile and Citizenship
TO THE STAT~ AND COUNTY TAX ASSESSOR, ~~p~pp
IGK7oJ0~7
Sl. IUCiE COUNTY, FLORIDA:
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This is my declaration of Domicile and Citizenship in the ~tate of Florida that I am filing this day in accordance and ~
~n conformity with Chapter ?22, Section 222.17, Florida Statutes. ~
. 1
Miami Florida ~
I was formerly a legal resident of - ~
(Ciry) (State) ~
I
4822 NW 4th Terrace
and I resided at _____`_~___-_-_~-r _ However 1 have changed my domiCile
(Sireet and Number)
Feb . 8
to and am and have been a bona fide ~esident of the State of Florida since day of ~
, l9 , and 1 res~de 'at _ Royal Fountain Motel
Route 1- Box 405 - Fort Pierce, Fla. (Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in fhe State of Florida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Applying, for Homestead
Entering children in school ; Daniel Paradoa
~x Adolfo Paradoa
/~,E0 A~C RECOADEO €
~ ' ~r• UIWE COUMTY ftw, ~P ~
. ~aFR Pomtns d~
~ CLERI( C18CUR COURT u '
RECOAQ YER~FIE~
s~ ts iz o~ ~ ~12 `
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; 2~~8 r
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I FURTHER CERTIFY that 1 will comply with all other requirements of a legal resident of this State.
I fURTHER CERTIFY that I have no intention to return to my former domiu~e, and I intend to remain in FORT
PIERCE, SAINiT LUCIE COUNTY, FLORIDA, permanently. ~1 ~
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~ ~7 2~tfc: ~
CO~'.;~ Name)
; ; . Olga P rado~
' ' ' E' . ~ ~ N
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~~ti 4 ~ ; ,~y 'R
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~ ~ . ~ (Address)
. `Y` . f
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~ ~F. . ~ ~ 25th September 72
~~pr~i~to and subsuibed before me this day of , 19 .
•'}u:~~•~ .
~ ROGER POITRAS
RK CIRCUIT COURT Notary Public
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8y _ ~ D.C. My Commission expires
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(To be executed in duplicate and origi~al filed with Clerk Circuit Court, and duplicate with Tax Assessor.) ~
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