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Home My WebLink About1455 4 1 1 ~ D~~laration o4 Dotntcile ~nd ~itlz~anshlp . .13~~'~'$ . . ~ TO T~1E STAT~ AND COUNTY TAX ASS~SSOR, , . . : ST. IUCIE COUNTY, Fl4RtDA: . t ~ . + . ~ Th(s is my deciaroNon af Domiclle and Citizanshlp in the State of Flo~(da that i am filinq thtt day in acoordance end , in conformlty wlth Chapter 222, Section 222.17, Flortda Statutes. . ~t , , . , ~ . ~ 1 waz formerly a legal resida~rtt of Trucksville Penn~lvs~naa ~ (ciry) (Star.> . . ~ ~ ~ . 123 S~tard~an Avenue . end I ro:ided at . However 1 havs chan~e~i my domlCils • . (Street and Numba~) ~ . . to and am end have bean a bona fide ~esldent of the Stete of Flarida stnte 3 day of ~ Jan uar~ I 19 53 216 Olive Street, River p~.rk _ , and 1 reside at ~ j (Streat and Numbe~) 4. . ; : : - !'OltT PIERCE, SAlNT WCIE COUNTY, FLORIDA . . - . . . _ - . _ : , ~ ~ and this statement i: ta be taken as my deciarotion of citizenship, actuai te~al roaidence end d~micNo in tha Stste of Horlda. tri.,,,....... . {Insert here any pertinent facts, such as sala of properry or buainsss, ar relinquishment of ~<< i. ~ . , at fo~mer domicile, ramoval of famtiy to new dornicite, purchase af hame, ete.? ~ . . • . . 7~ ~~l~ •y~ Y•~~ f~f} , - . . - ~ ~ ~ , ! . . ~ ' ! . _ •j ~~if. a I ' ' . . . - r•'' ! • ' f t ' ~ = ~ Bsta blishi~eg re$idenee ~ . ~ . ~ : ~ . ~ ; ~ ' ~ ~ ' ~ :1.i3. ~ , : . 1~'~5 . ~ . , FI q ~~RDED i ~ , : _ ~ . 4 ~ ~N c~a B~QK ~ . _ ~ . . . I'64 OEC -9 ~ PM 12: OU - ~ ~ : ; ~ _ - . ~ 'i ~ . - ROGER POITRAS. q.ER ~ ~ ST. LUCIE COUNTY. fIORlD ° . . . ~ ` . ~ . . _ . . 5 _ i. . . . ~ . ~ . ~ . K+~~ ~ _ - . ~ ;4 . ' . _ • ~ . . 1 . . 1' ~ 1 . _ . . . ~ - ~ . i 3 ' . . " . ~ . . . . . . . ' . . . . . . . . ~t . i FURTFlER CE~tTIFY tfiat 1 wili compty wtth ali other ~equiremenh of e te~aal realdarr~t of fhl~ Stat~e.~: , _ i ~ ` . • ~ ~ ~ - i fURTHER CERTIFY that 1 ht~ve no intentlon to retum to my former domic.i{s, and i Inte~d ta remain t~i FORT . - PI~, SAiMT LUCIE COiJNTY, FtORIDA, permanently. . ~ - ~ ~ : j j ~ . # 1 fA . SI ~4 ~ ~ t ~~a•~ 7 . ~ . . - . . ~ ~ , h~ . ~ ~z - t a° , i ~ _•:'a ~ - • . f ~ = F''?`' d . (Nams} ~ ~ ;r,; ~ : 'r ; , _ . . _ - . ; ~ ' . ~ ~ ~ . ~~~,~'~ft~"` O f! Charles T. Parmelee . ~.3~ p i . . . ~ ~~~1 . S•''~,:' ~ ~ (~4ddrass) . ~ . _ ~ _ . - . Sworn ta and scibsaibsd ~sfors me thi: 9 day of Dec eaebt r 19...~.4.. r , ~ . . ' " . . ~ ; . ' _ ~ . . . 3 , • ~ ~ ~ ' . ~ . ~ ~ CtERK C WT C ~ Not Publk ~ • . - - I - ~ ~ ~ . ~ 6~t . : . D.C. hAy Corrwnia:{on ~xpira . . ~ ' . • . ~ . . , - ~ - ~ i (To b~ wc~evl~d ia ~ a~ed ~ til~d wi~i~ Cl~rk Ck~it Con~t, aMl de~lisaM wili~ Ta~t A~,i . - ~ - . ~ • ~ ' ~ O. R' - . - . 80~I( ~Q~ PI~Cf~~~ `z:..