HomeMy WebLinkAbout5184 ~~9
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D~cl~~a~~on a~ D~m~c~~~ ~nd Citiz~nship ;
. . ,
TO THE STATE AND COUNTY TAX ASSESSOR~ ~ ~
_St..~u~ie COUNTY, FLORIDA:
Michi~an '
Tt~is is my declaration of Damicile and Citizenship in tlie State of that I am filing this day in ;
1:
accordance, and in conformity with Sec~~nn 222.17, Florida Statutes. i;
I was formerly a legal resident of Port St.Lucie , Flordia and 1 ;
(Cnr) (s~.a) ;
resided at 308`
$~grbrook Dr.o . However, I liave changed my domicilu ~o {
(Street ~nd Number) ~
and am and have been a bona Gde resident of thP Ctate of Michigan Since _ 30tta_ day of
.
. e
NOVember , I9 72 and I reside at _..[~33 Hollywood Dr. _ "
Kt and Numb~r) ~
i
Monroe_Michigan ~ Monroe County, ~
(Cilr) ' ~
and this statement is to be taken as my declaration of citiaenship, actual legal residence and domicile in the State i`
of Michigan County of Monroe ~
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(inserl here anr pcrtinent facls, such ss s~N of property or business~ o~ r~linQui~hma~t of anplorment ~t tormK
domicYe. remo+~l ot family to mMr domicil~. purchw ot hom~, ~tc.) s
~
.
Eetabli$hing residence
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i:
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A"'C9~ i
~e a,o Rfco~to~~ ~
!1~
R PO1tMTi1ArSFlA' ~ '
CLERK ~;~'Ct1it ~OURt }
RECQR~ Yta~~,cn ~
~ a Iz ~ i73 ~
245095 ~
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1 FURTIIER CERTIFY ti~at I will register at my local address when the registration books reopen, and
comply wiil~ all other requirements of a legal resident of this State.
I FURTHER CERTIFY that I have no intention to return to mv former domicite, and I intend to remain in
• ~ . ~ . .
Monroe Monroe , COUnty.
State ~ of ~iic~higan • '
~
a
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P/XQ ~/f/, r
Irene W.Streicher
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Sworn and Aubscribed before'ie.~his,27th. day
of Dece 1972 ~ ~'r ~
~
Warren J. La Be - "
Monroe County erk , .
County of Mo oe ~ _
State Of Michigan ~ .
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