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• '~d'~1;3~' c.~ ~ ; , ~t M . . w..~ .r . t ~ ~ r ~ ~ ~ ` 4 ~~~I WC~.~~•+La4~~..~ V~•Y MY,-~~,~~ • r.1`f 1~., ~V' ~ ~I.~.~~a.t O 4'i.`~_•~.~`~r . ( + { . '1 U'1'l ll: STA"1'l; /1N1) COUn'1'Y 7'AX ASSl:SSOIt, ' • . . S,1 • LUC1~T: ~ , • • ~ ~ ~ • r _ _ CUUN'1'Y; l~ 1_OI.IUA: , 'fl~is is my dcclaration of llomicilc ai~d Citiccnshi~~ in thc Statc o[ l~lorida that I am filin~ iltis ciay i~i ; accordancc, and in conformity «~ith Scction 222.17, FloriJa Statutcs. ~ ~i 1 was for~~~crly a lcgal residci~t of ~ ss~ ~ p~ (c~~y ' ~s~~~~ and I residcd at ,3~.3 ~.~l " , Howcvcr, I havc chanficd nty ddniicilc to ~ (Sircot and t~umbcr) ' . ~ and am and l~a~~e ~ been a bona fide residcnt of the State of rlorida since day of' ~ , 191,.L,~ and I residc at ~~3 5~~1 ~ • (Sitetl and Numbei) ~ ~~~J ; ~ _SS_. LUCIE ~~~Y~ County, Florida, a?~d this statement is to be taken as my declaration of citixenship, actual legal residence and domicile in the State of Plorida. c. ~ - , - ~ . (insert t?ere any pertinent tacis, such ss salc of propcily or business. or relinquishment of employmcnl st former i domicDe~ rcmoval of family to new domicile~ purchau of home. etc.) • • . ~ , ~ - . - • • . . . . i • : - . . ' • , - . - . . . : F: ' . . ~ . " . . • . • . ' . • ~ •~.APPlying for homestead : . . • - . . ~ - - - . : . : . ; . . : ~ ~ _ ~ _ Entering children in school : ~ • ~ {~o~,~~-r~~ ~ ~ - _ _ ; - . . - - _ _ . :~'a-~~-~~ ~ ~ _ - ~ - . : ~ . _ _ . ~ . ~ ' Other : . ~ ~t ~ • _ : _ " . - • : ~ ~cc.`rti-z te.-~„~ _ : _ . . . ~ - . ~ _ - : _ . . ~ . - _ . . . . : . ~ . - ~ ~ - . - . . ~G~i~~~,,~ . - - - - - _ _ . _ . . : ; , . ' - , . ~ F L~0 AItQ'RE ~.p DEp r~ _ - . . . . . - ~ - . " . LtlC1E COt!yr~E1~-:. ~ . - - ~ . . . - . . ' ROCER ?bFtRAS . . - ' ~ ` - ` . _LI~RK--C~n~UtT COURt. ~ . . ~ , ~ - . . . . REC4R2 ~f~Rtfl~D ~ . . . . : ~ : ~ - ~ . ~ . ~ . . : ~ . ~ . : . - - - ~ - - ~~uc=~3 ~ ~~vs~~ll~.. T3. - _ - . . - - . . . . . . - - ~ ± : ~ ~ . . . . . : . ~ - . ~ . - .26~'l~'7 ~ - : . - . . : : ~ . - - - . . ~ . . _ . . _ . . . , _ . ~ . . _ { I FURTIlI:R CERTIFY tliat T wi11 rcgistcr at my local address whcn tl~c rcgistration Uooks rcopcn, and com~~ly with ail oihcr rcc~uircmcnts of a)c~al residcnt of this Statc. I FURTIiCR CCRTIFY that I havc no intcntion to rcturn to my. former domicilc, and I intcnd to rcmain in 9 ~ ~ St~. Lucie - ~ ~c~~Y~ y , CountY, Plc~rida, pcrr~anen ~y,-~ . T'ho~tA - o d d i ' . t~ 'S 4' ~ ~ ~ ~ . ~ ~ v: v' ~ ~ ~G9~;~~~.,,~ . - - g ~ , ~ , ' •°i`; r _ Nanit U)tt . ~ ~ i ~ « ' ~ ~ , ~ ( ~ , ~ - • - _ /,3 _ 3 5 ' ~ ~ _ ' ~ , { .:'c:G. . ~ ~ - •~ti " '~v ' " (Addtcs.•) { 3 ~rc~r~~ to'~~'~+~q~sc~A, `~;t~~orc m~ lhis day of ~ ~ . . , ; ~ . •~N~~?Ilfi~+ - • ~ ~ _ , _ ~ - _ /l.l). I 73._. . . ; ' ~~~:i';l;lt PUI'I'I:IIS, CLT;I:t: CrKC IT COU1:'1.' . U~~,~- BO~K ~17, PAGf 2~~0 + ~ ~ n.c • ~ ~ - ~ ~S.\ C - - ~ - - ~ `~t ,~e- ' _ . . a .t~~z~=~-"'' ~ 'F~.~ ^.^.r .{,c : rt t:k~~Y ~ ' '~~"~:r- ^K- " _ _ . ..t ,,.."-~~ii . - ' w-,~.