HomeMy WebLinkAbout1551 Dectaration of Domiciie and Citizenship
"r0 THL•' STATN ANU ('OUNTY TAX ASSt:SSOR, `
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Tl~is is my declaration ui~ Domiril~ and Citirrnshi~~ in th~ State of Florida that 1 am tilin~; this day in
accor~iancr, and in confarmity with Sertiun '~".17, Florid~ Statutrs.
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t was forni~riy a tcgat residrnt ot~ /P'~id!P~l.~_I~'~_--
- and I
(c~~y) ~s~a~e?
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r~s~~l~d at ysd _~!C h~ . However. 1 have changed my domicile tu
(s~~er~ ~~a ~i(~m?~r~~ - -
and am and have b~cn a bona tiile rrsicient of th~~ State ot~ Florida since day ot
. 1Z,,•,:~-~'~-
- - • 19 - an~ 1 r~sid~ at _ 1-_- - ~ -
(Street and Numbet)
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d~~"-""_,_?- - Fl" - • -----~-r - County. Florida.
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and this statement is to be t~ihc~n as my derlarat~on of cititenship, actual kgal residence and domicile in tlie State ~
of Florida.
(Inxn Aerr rn>~ prrtinrnt facts, su.h :u wir uf pruprrty' or busi~ieu, ur relinyuishment of employment at fotmrr
domicile, remu~'al uf family to or~v d~~micilr, purch~sr of hume, rtrJ
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`,~jll G~~~e a- - -2`~ _
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F~RFD 4
5T. LUCIE COU1VTr ~FD
~lfR~~EF PO?TR~g
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RFC~Rn y z~~
1 ~O COURT rA ~
~kor ~1 ~Z 43 PH ,
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1 FURTHER CERTIFI' that I will r<<~ist~r at m~~ loraf address when thr registration books reo~~rt_ .inct
comply with all other requirements of a le,~at r~sidenE of this State.
t FURTHER CERTIF that 1 h:~ve n~ int~ntion to rciurn to my fornier domirile, and I intend to nmain in ,
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. c`~ Y~?:~''~ Q i (Address)
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,~ijt@~'L1~~'sCrib~d bclorc me thi~ da~~ of
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- ~ G~~~ _ . A. D. 19
_ c.< --y~~'~~%'? - - - - -
N aty Wblic Statr uf llnnda at e
`1y Commission cxpires__-- ~ i~StON
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9. ~l~
973
- IMrti:sl7~~i+~ iltm M. OiFS7E1lIORST
(To be r~rcuted in duplicatr ~ntt nnKinaf filed w~ith Cktk Circuit Coutt, and duplicatr with Tax Asseswt)
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