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HomeMy WebLinkAbout1664 ~ / . . ~ ~.w~ ~ l} (/~!t~~;]l(/~~ ~y.~E ~ r i~~ f l~V~t::~~ ~::1 ~,L ~~i iS V V i V V r L1~~~! ~~?L' ! c) ~I lU: S"fA~t'{~ A\U C'UUI~'l l' '1'AX ASSI~SSUR. , ;,T' _1.t1C1•-,- CUUN'1'Y, 1~ L(~RIUA: 'lhis i~ my drelaratic~n ol~ Uo~nicilc a~~d Citiicnship in th~ Stalr of f=lurida th:;t 1 sm filin~ this ciay in :~:iur~l:u~cr, an~l in conR~rmity with Scctio~~'_2"'.17, Florida St:,tut~s. . - -mrrl ~ a lt~:tl resitlcnt ot__!_1~~~'~r~!+'~~ , and ! ~ 1 ~v~~~ fo> > . ~s~~~ . 3 ~ .nr) • _~~~,~,r,~~ir. . Howcv~r, 1 fiavc cfia a~d my domic~ to ~ r; ~.i~4•d at _ . ~ - .,..,,r~ (StFcct and Nurobcr) /f~i ~ :,,i;; am and havc b~cn a bona iidc resi;irnt of thc Statc of Florida sinoe d~ - ~Y . ~ f ~f.-~/ , ~v~-~ ~ , 19_ 7_L--, and 1 rrsidc at ~ I_ - - ~ - - - (s+~Kr ~oa K~,e~~ ~ - , St . Lucie Count~. ~a, ~ _ ((:ilY l- - - - - ~ ~::zcl this st.itcmcs~t is to hc takrn as my dcclar.ition ut citi•r.cnsiup. actual rgal r~~sidencc arj~do:»ial~ ~~hr S1al~- ~ . .~t l~l~rida. ~ ~ti~ ~ (I~.xr: I+rrc a~?y ~•rrtin.nl facts. xuch as sa of nr.•pritY u~ Fusi~rss. uc ~elinquisbrtenl ot cmpbYa~ral ri tonott ~ domicil.•, r.•~nu~al uf Prmily to nrv~ domi:ife, putc.`.:?se of h«:nr, etr.) ~L.._---~ ~ ~.±:'i'E2I;:G CHTI.Li2C;•: It: SCHOUL: HO:~:S'I`~~AU ~7:E-a~`~ 7U=;: Tf et~ter?ng children in school, ~ . ~ ~7_ea~e list titei.r names : ~ ' 3 ~ ~ i~E 01t!~~ Rft0it0E~ ~ ~ iT. WGt ~~nl(flr FLL - RGtce~ ?'iifTitAS CLFAK Ci".~Us~ i:01NIT ~ RF~Qc~ ~r~ c,Eff ; . ` ~C !i t0 ~v ~i'~~ ~ I ~ _ 29r7231 ~ . ~ 1 FURTHI=K CERTIi'Y tii: t 1~vil! r~~~ister at my la:al adJress when the registralion iwoi:s rc~cn- and ~ ~~,~~;i~l~~ ~vith all other rey!iireme~its ~f a Irgai r~~sident of this State: t 1=UY."~'i Ii:R Ci: TtFY that t lia~•c no iiitc~~tion to rcturn to my formcr domicile, and I int~nd to recnYin in ; ~W • --~-e----- - _ ST. LUCI~ Caunt~_ ~c~u ) C 11~.~tLE-~- .~A-t~E<L ~=iu:~da, ~r_rmanc~itly. t~2~ ~ ~ ~ . - _ . - - s Ic~~~~ : S~vor~i•fitt`;1!y~1;yt~b~cribcd t>cfcirc mc lhic ----<1P_ Jay of ~ ~ ~ ; a, 74 ~i£~,~.,,~ ~ : ' . ~ _ f~.D. I9-- - ~~:f - i g ress . , - • ~,j, f,~r:~'~fi.c~.c -,~~,*~:.,p(3b'~~,= CL~P1: CIRCUIT COLR.T , Flor~~'3 _ _ ; ~ ~ . . ~'j. es~ = 3 3 -K.rL _ ~ . . , : ~'`~t` - De}~ut~~ Clcrk . ~ i ~ ~ C8•~ , '~,.t..r~~•;''.' (T~~ he e u1rJ i:e du~t~: i~c .+oJ vii;:~n.d fard vit~~ ('i.~rk Cucw: ~rd d~~pl~.•ate v~iih Tsz ~~~~1 ~ BRt~2K ~A!,~ ~VU~ ~ ~ ? ~ - _ ~ ~ ~~--~n~ ~ e