HomeMy WebLinkAbout0868 ,
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~ Daaalaratio~ ot ~orr~icile ~nd Cttig~nship
TD TN~ STATE AND COUNTY TAX ASSESSOR,
ST. tUCiE CCIUNTY, FIORIDA: ~
Thls Is my declaration of ~omicile and Citizenship in the State af Florida thet I am filing thi: day Jn aao~dance and
in tonformlry with Chapter 222, Section 222.t7, Florida Statutas. ,
t wa: formeriy a lege! resident•of I~4~'~TCH~4 ~WNSHIP IeI. ~j. _
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R.P,D.~ Z Knollwood Club -
snd I roaided at . Hawev~r ! have changad my domlvle
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, to and am and havo been a bona fide resident of the Stata of Ftorido since 8t~ day of ~
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O~c'tober ~ 64 70~ a. 23~rd St. ~
~ , 19 and I raside at
(Street Arx! Number)
fORT MERCE, S/11Nf RUCIE COtJMTY, RARIDA
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arx! th1: atatement is to be taken as my daciaration of citizenship, actuAi legal re~idence and domiclle in tfie StaW of Hotlda. :
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(In~ert hara any pertinent facis, such as sate of property or business, or relinqvishment of emplayment
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et former domicile, removal of family to new domicile, purchase of home, etc,) ~ ~ :
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PILING FOR HOMBSTBAD PURPOSES
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~ FILEO AND RE~OftDED - .=~,•,o~~?'~~.!'•;,~'.:.. ;
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t ~ 1964 NOY ~
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~ ~ St. IUCIE COUN'f Y. f LQRIDA •••••.•.•••vt r
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1 fURTF9ER CERTfFY thafi 1 will oom t with all other r utremenri of a I al reilcla+nt of thfs Stafe.
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I FURTHER CERTIFY that 1 have ra intention to roturn to my former domic~ic~, and 1 intend to remain tn FORT
PIER~E, SAINT LUCtE COUNTY, FLORiDA, permansntly. ~
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r ey~ ~t - ti ~ ~ (Name)
s: ~ :i ~ ~ C. BDWIN [~41ILLIAMS -
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~i Sworn to and :ub~ibed before ma thi: 2?th dey af Nov~mb,g~' y 19.~~.'~
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: ; RO~iER PORRAS
CLERK Ci VIT CAURT Notary Pubik "
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; 8y D.C. My Commiulon oxplres
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(To b~ ~x~euhd in d~epNeah awd oripinai Aisd whli C1wle qrarh Court, ao~d ~h wil1~ Tax A~~a
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