HomeMy WebLinkAbout1913 ~ i .
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'f0 TliL• S"fATI: ANU COUN1'Y TAX ASSI:SSOIt, ~ ~
ST. LU.CIE _G'OUNTY; l~LOItIDA: ~ ~ ~ ~
Tliis is my dcdaration of llomicilc and Citizcnship in thc Statc of rlorida that 1 ain filing this day in
accordance, ~~nd in conformity witl~ Scction 222.17, Clorida Statutcs. ,
1 was formcrly a lcgal resident of ~lf~~ and I
. (citr) (s~ate)
r~sided at ~ ~1f~~ i~-r1 ~ . Howcvcr, I havc changcd my domicilc to
(S~t'«e .~a H~mbe~>
and am and have becn a hona fidc residcnt of the State of rlorida since _ ~ day of
~
19~.~., and I reside at ' ~ ~
.
(Sltect a Number)
~ ' ST LUCIE County, Florida, ~
(~~r)
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida. - • '
(lnzett here any perlinent facls, such as salc of pro{xrty or business. or telinquishmcnt of employmcnl at [otme~
domicile. remoral ot family lo new domicile. purchase of home, ctc.)
. •
Applying for homestead: _ . _ - .
Entering children in school : ~
. >cY,~c G~ S~- _ _
~ Gt~E:r~t.. ' -
Cther: ~,/l - - . .
_ . - . . - , ~ ~°'''~o„*,~ . ~ : ~ . .
. . _ - , . . ' ~ f~CfR i'a!~ - l .
~ ~ - _ . . 'a1.~R1~ CltiDl{R ~ ' • . '
_ RfflORO i~ERIf1ED~,,.~....~~
i . _
~ . . ' . _ _ . . .
5 • •
_ ~ Ir~t 11 9 ~.~1'~3 - -
. - ~ ~ ~ 2s16~9 ~
- - •
I FLIRTHER CERTIFY that I wiil register at my local address ~vhen the registration books reopen, and
comply with all other requirements ot a legal resident of this State.
I FURTHCR CERTIHY tliat I have no intention to return to my former domicile, and I intend to remain in
~1~ St . Lucie County,
~ ' -
~ I~lorida, pcrmanently. (c'~r) ~r c~. //i k z o/~
'F;
- ~ - (Name)
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, `'',~,.n..u~~r~~~~,:~-:~ . • (Add ss)
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~ ; „ c;'S -
- ......~.0 ~ .
~t G , l'
v ' ' ~ ' __[_L~. day of . .
Sworn fo a~d~bs~c~~l~~i`~'icfflrc mc this
. ~ _
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_ . ~;~~"'S~~'.; c; .
lt()GER ~~~~i~~1J?S`~~~tL~EI:K CIRCU T COUItT . ~ s
1 ~t 8 - ~
I3y D. C 60~K ~1~ PAGE ~~7v5 -
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