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'I~U'i~Flf: S'I~t~'Ci~ AND t'c~U~"1'Y 7'AX ASSLSSOR. ~~~s~w
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_____St • Luc _ LUUN't'Y,,FLOItIDA:
. ;
This is my dcclaration of Domicilc and Citizcnship in thc Statc of Florid:~ that I am filins this day in
accor~ance, and in conformity with Section 222.17, Florida Statutcs.
,
I was formerly a legal reside»t of CH 1 c ~~o , I ~ and I
(cur) ~s~.ie~ ;
resi~iCd at 14222 SO PALMER ~
. No~vever, I have changed my domicile to
(Strcet and Number) ;
and am and have been a bona Cde resident of the Statc of Florida since 15TH day of '
OCTOBER , 19 7_? and I reside at 809 CITRUS AVENUE
(Street and Number)
FT P 1 E R C E ST L U C 1 E County, FlOrida,
.
(~ir)
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida. . ' -
(Insett here any pertinent facts, such as sale of properlr or business, or relinquishment of employment at fo~mu
domic~e; temoval ot family to new domicile. purchase ot Aome. etc.)
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Applying for homestead .
Entering children in s~hool :
PAUL Bl ESCHKE .~R ~ 6 YEARS '
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1
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3
F~4~,Q ANp R p i
S1: lq~~E C4~~TY ~
. Roc~~ Po~fiR,?a
CCEAK CtR~U~T COU~T_
RECOR!` Yf k!Fl~D ~„~~W / ~ . -
~ 1~ II ao AH'73
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I FURTHER CERTIFY that I will register at my locat address when the registration books reopen, and
E comply with atl other requirements of a legal resident of this State. .
~ I FURTHER CERTIFY that I have no intcntion to return to my former domicile, and 1 intend to remain in
` FT PIERCE ST LUCIE
Florida, permanently. ~~~~y~ , County, _
" - .~,~o_ ~ve~.~~ ~
' • ~MRS. PAUL BI E$CHKE~~ SR. ~
; ~
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~ ~ ~ C'•. (Addtus) ~
' ~ JJ..cl~ ` <<~~0~~• $ - -
; Swotr~o ~aiiscri~d~doic mc this 24 day of
i s~. ~ '
~ 6Fl~~T Y~~' A. D. 19 73
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rOGER r~ ~ ~ G~;RK CUIT COURT ti- R
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