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HomeMy WebLinkAbout1448 • 9 D~ct~ratior~ ot Domiclle an~ Citlzen~hipr - ~ ~ ~ ~ A~~.36€3 TO TH6 STATB AN~ COUNTY TAX A~SSOR, . ST. LUCIE ~'~UNTY, FI~RIDA: . ~ _ • .r. - This is my detlarAtlon of Domicile and Cttizenship in the State of Florida thet I m~m ~ilinp thlt dey fn accordence and in oonformify with Chepter 222~ Sectton ?22.17, Ftarlda Statute:. ~ t was fo~merly a legal restdant of ~~v~~'~ N.C. {C1ty) ~ (State) ~ ' : r ~ Rt. 6 . ~ ~ ~ ~;1 artid i re:lded at . However I have cheny~d my damtc~le . . • (Siraet and Number) to and am and have bean a bona flde ro:idsnt of the State of Fiorida =ince Sth ~ day of , ~ , • ~ Aecemb~r 64 19aZ PoACe Dc i.~oa HY]i~ . 19 and I ~esida at r~ ~ . ' (Street and Number) . I~ORT PlERCE, SAINT tUtl~ COlINTY, fLORtO~R ~ , j~ snd thi: atat~ment i: ts be taken sa my daclarotion of citlzenship, actuel lo~sl rosidence and domiclle in th~ Stats of Florid~. (Insert hero any partinent facts, such aa a~le of property or business, or reltnquiahment of employmer~t ' at form~r domicile,-removai of family to new domicile, purchase of ~homo, etc.) - : BNT9RING ONB CHI~,D IN PUBLIC SCHOUL . : . ~ . : . . : . ~ . • + ' , ~•F~ = j , . . . . . ' ~ :`~~•N A.ti t. . ~ 1 ~ ~ ~ ' ; 1.:3?1~+~~ . ~ •~Qt.1~,,...,; rf~~ ~ :r . . ~ ' ; • `~~r, i ~ ~ ~ ~ f ~ ~ : . ~ECO~DED : ~ ~ , ~ ~~2 . . . . - . ~ ~O~ ~ t . ~ ~ ~ . , t r . . ~ . ~ - . . . ' ~ . ~ . ~ ~ ~r . ~ ~ ~ ! Q : . , .V~?~~~ ~ ' ~ : ' i0~ t # - r ~ w : r ~ , : - ~ 1964 DEC ~ , : aj . . . t ~ t : € . ~ ~ r i ~ • ~ = _ : ROGER POITRAS. o~_, , { : ~ . ` 81. IUCtE COUt~~`I, F ~ } ; , : . . ~ , _ . . ~ ~ } s ~ ~ , , . . ' . . ~ . ; ~ . - . . i . .T ~ ~ ~ ~ ~ . ~ . ~ ~ ~ : - .s ~ : ` • _ . " • • ~ . . 1 ~ ~.~1 ' " ~ ' ? . i ~ . . . . . . ' , . 1`FURTHER C~3t'~tFlf t~jtrltwiil comply with ~II other requi~em~r~ts of ~ leQal rostd~e?t of tl?ls Shh. ' ~ , ~ . _ . i r; . t FURTHfR CERTiFY that t have no intention to retur~r ta my former domlcale, and t intend to rematn i~ F4RT. t.: ~ PiERC~, SAINT LUCIE COUNTY, FLORlDA, perma ~ : . _ ~ . ~ - , ~ } ~~~.N~u~~~.~~ , . . • ~ . . ~.•'~~QZ 1 s c ~ - ' . I ~ , . f• ~1 I - _ ; '•.,'Q~ •s (tdame). ~ ' ' ~ t' f ' e .4`w ~ , ~ MRS. SHIRLB~I WIX.I.IAM~ti . . _ 'i ~ :f ~ ~ 1•'• j ~ ~ . . . . . _ _ . ~ . ~ . ~ . A . . . ~i . •'Y- • (Address) ~ . ..yr~ ' .r t'~ . , / #j ~ ','!O's _ . . . . . f _ , ~ ~ , ~ ~ ~ - ~ . . . . . . . . . . . . . ~ . . . Swo~n to and wbs~cribsd before me thi: 9th day of I~!Ctmber ~ i~,~,b4 ~ ~ " ' f ~ _ - ] ' ~ . . . . . . . . . . . . . . . ` ~ ~ - ~ - ~ S ` - ~ . CI~K eOt~T ~ _ ~ Notary Publk - ; - ~ _ . ~ 6~ D.C. My CatixMubn ucptru ` ` - ' - . . ~ ; , ~ g~K iQ5 ~?r.r243 : (To b. .x.rrha iu d~iical~. aKt .~rvi~i til.a wilM u«!~ C~ir c.wt, .wa a~ wili~ T.~x M•••r•ra _ . : - _ > ~ . ~ Y ; . . . ~ ~ , ~ . ~ . . . . - . ~ _ - 4 ~~~i _