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Home My WebLink About1407 ~ ' . , . ~ ,~~+~lae~atit?n of Dorr~~~al~ ~nd Cttlz~~tship . , ~-3~.33g TO TM~ STAtE AI+l~ COUNTY TAX ASSES.S4R, • ~ ST. LUCIE CUUNTY, FIORIDA: . . . ~ . I ~ „ ~ . This is my deciAra,.on of Qomicile and Citizonship in the State of Florlda that I am filtnA this day in aao~dence and , in conformity with Chapter 222, Section 222.17, Fb~ida Stetutes. i • '~Y • ~ . . . I wes formerly a lega! restdent af OxOti Hill Maryland , ICity) {State) 4~5 1Cennebec Street , ~ and i re:ided aP ~_~__r__. Mowever 1 have ehanqed my domi~ile ~ . (Streat ane! Numkier) . • ~ t~ and am and have be~n a iwna fide re:ident of tha State of Florida ainte 18 day of ' ~ , • _ ~ ~ November ~ 19 64 1?4..W. Prima Yi~ta Blvd~ ~ , and 1 reaide at , Port St. Lucie ~(Strest end Number) . ' ' ~ ~~c~, s~~Nr iuc~ eouwrr, rxo~ioA . ~ . ~ f . ~ ~ and ihis statemant i: 1o be taken as my decla~atton of citlzenship, actual leqa) rosldence and damidle in ths Sta» af Horida. ; i. . . . . . . . - . ~ (Insert here any partlnent facts, such os sale of property or businasa, or relinqu(:hment of emp{oyrrient at former cbmlcite, ramova~ of family to new domicile, purthase of home, ete.~ _ • . . : - . . ~ ~ . - . _ ~ ~.31338. _ . : . . . . ~ f1lEQ A~ND REC~RiI~ ~ ; : , ~ ` _ - , ~ . IN~,~e~~ODIC ` ~ x . _ r ~ _ ~ , - ' ~ . ~ , ~Il64 D~C -S AM I I: I g ' ~ _ ~ ~ ~ Bsta6lishing reeide~ce : . . . ; , ROGER POITRAS, CIERK = - ~ ~ . ~ - St. IU~IE COUNTY, FlO~IQ~ ~ : ~ ~ _ ~ ~ : . , . . ~ ~ s _ ~ ' ~~.,.....,,C~~ ~ _ _ _ • ; ~ . , ~ , . , ; . - ~ ~ , ( ~ r ~ J • ~ . ' /h ' ~ . + • ` • ~'ti t. . ~ ~O ~ • ~+q • ~ . . ~ ~ ~ . - ilsY•.+a~ v+•_ . . .r....... . _ . _ ~ - _ ~ , . ~ • ' ~ ~ ~ ~ ` , . . + + ~ . . . . . . . _ . . . . ; ,r: ~~ti.~. ~ ~ . . ~ ~ , ~ •'1 . . . . _ = t ; t~~ r•r' ~ . . - . _ ~ . ! ` , r' t~ ; ~ 'r.?`~ . • : _ - . ~ s . ' ~ ' ~ : ' : ' . : ~ . ~ I fURTHER CERTIFY that i wifi oomply with al) ol~her ~oqutromsttts of a tsqa) ~s=ldent ~of _thu Stah. ` : ~ ` ~ . . . - ~ . . . ~ . ~ ~ y • F ~ ~ 1 FURTHER CERTiFY that i hav~ no Intantlan t4 raturn to my former domic}{s, and 1 intor~ to rem~in in F4RT ~ ~ ~ , ~ Pl~~, S.AlNT l~JGlE C~~JNTY, FL9RIDAs }~ermanently. ` _ • _ . - 4 ~ ~ . . . ~ s ~ ~ ; ~ ~ ~~j's ~ ' ti . ~C ~ ~ (Name) . . ~ . f•~ 1 • G' - ; . . • ~ , i ~ ~ . y ` ~ . ~ ~ ~ r' ~ • n _ . ~ . . . , ~ ~ . ~ ~ Charles Denton A~=~' ' - ~ . - . * tr~ - (Add~s) ~ ~ . •~r . ' - ~ . . . ~ - . . . . r . ~ . ' ~ to and wbscribsd b.for• mo tht; ' day o¢ ` Decemb~r °~•`~q b9 4-. ~ . . . - ` - . ~ _ ~ , . . - . ~ ROGER l~OQTRAi _ _ . CiRCU COtIRT _ . . ~ ~ . Notary~ publk : . . _ _ ~ a'fi ' G.C ; ; ` AAy Comn~isii+an sxptn~ . . _ _s . . . . - , - z - - , . } (Te b. ~x.w:.a tn d~plicato, a~i «3vi+~at ii~d wNlt a.~ic arar~ cowl, aua ~1. w111~ T+y~ A~.r...~..a, : = ~ _ : ~ . ~ - • • . . . _ . ' BQD!( _ r . ttrl55 ~~7 ~ , ~ . ' ' _....t.' k~~,~ ~F--~z