HomeMy WebLinkAbout1450 30.~823 ~ '
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Declaration of Domicile and Citizenship
TO TNE STATE A\D (:UU\'I1' pRppERTY A~SESSOR
ST~_ _I~~I~IE-- - - - - COUhi'~', Fl.ORIDA:
'I'his is n~y declaratiou of Duinici:e an.I Citizen~hip in the State of Florida that I am filing this day in aceord-
ance, and in oonformity with Sec:tiun '_.:.,.•~.17, ~lorida Statutes.
I was formerly a legal n~sident oE RQ~~~ter , New Yr~rk
( CicY ) ( State )
and I resided at . Ho~~~evcr, 1 have changed my domicile
( Strr~~t ai~d ~Iumber )
to and am and ha~•~ heen a tx~n:? fide resiclent of the State of Florid3 since ~th day of
November _ _ lg. 74 and 1 reside at 6601 _Donlon Road
( Street and Number )
Fort Pierce, St. Lucie County, Florida,
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( City l - - - -
and this statemrnt is to Le t:il:en as n?~~ ~1~•~ I,~ratiun c~t citiz~•~?ship, actual iebal residence and domicile in the State
of Flurida.
( Insert herr :uiy pertinent facts, such ..~Ic of pm~x~riy or liusiness, or relinquishment oE employmeat at
[omier domi,ile, renwval ot f:unily tu urw dum;c~le, purchasc uF home, etc.) f
Retired as a school teacher and moved to Florida. Established
residence here.
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fd~~U~~Y /4i, l`:,L.
~~n°~A~ v`FAcu,T couRr ~l
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30~823
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~ l Flif~TNER CER~'1~'~' that I~+•ill re~;iste~r at m~~ 1~~ca1 address when the registration books reopen, and
3 compl}' ~vit~~ all other rcquir~•~ncrsts riE a l~b:~l resi<lent of this State.
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~ I EURT1iER C:}?ItT1Fl' that I La~~e nc~ intentiun tu return to m}• [ormer domicile, and I u~teud to rein3in in
~ Fort Pierce - - st _ r.»,~; P , County, Florida,
l ~~h' i •-1 ,
perrnanendy. `
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_ Mary J n¢ Freema e~
T~ ( Address ) -
Sworn to and subscr~l~ed before me t}us day of G601 DonlOn R07td
_ Fort-Pierce, Florida 33450
_ - , A. D. 19.~_. : . _ .
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_ . ry Public State o orida at Isrge ' :r•'~~.?V
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~ My Commission erpires ~ - ~ ~ -,Z ~a: ;..t :
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(To be e:ecvte+cl m dupLc~te and original filed~~Vit1; ~ ~ duplicate witb Tas Assworj t
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