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HomeMy WebLinkAbout1488 ~ ~ ~ " iDeai~r~etl~re ot DamiGtt~ ~nd Citi~r~nshi~ ~ . ~ ~ . .~3~.~~3 ; YO TFI~ SfATE Ai~lD ~Oldl`JTY TAX ASSESSOR, " ~ r _ St. lll~CtE CAUNTY, F~ORIDA; . . ; This is my declaration of D4micile and Citirenship in the State of Florida that 1•m fiiing this dey in aecordante ~nd in confarmity with Chapte~ 222, Sectton 422.17, Florida Statutes. .,'u 1 wai formeriy a legel resident of ~_Y4.~~C~'~Y N x , ~ (City) (Stets) ~ . ~ ~ . ~ and 1 restded at 3525 DeCatur Ayc. N Y 67 , Nowever 1 havs chsn}~ed my domiule (Sfreet an~d Numbar) ~ ' ~ 1o and am and have been a bona fide resident of the State of Fiorlda sinca ~ 1~ t ' day of • . . Se tember 64 323 So 13tY~ Stxeet ~ , 19 , and I raaide at ~ : (Streef and Numbet) . ~ , ~ !'ORT f1ERCE, SAINT LUCIE CQUNTY, ROlt~dA ~ ~ . - and this statement is to be taken as my decla~ation of citizenship, actual legal reatdence and damtctle in the Stete of Hortda. , . qnsert here any pertinent facts, such as sale of property or iwiiness, or rellnquishment of emp{ayment at former domicile, removai of fan~:ly to ~ew domiciie, purchase of home, etc.) : . . Bstabli.shing residenc~ ~ ' - . . ~ , Sj.: 1313~3 . . . . . ' . ~ + , ~ - .~I~H ' - - . F(L ND R~CORDED . 3 Got'~~ . : ~ . ~e ~ ; . . : ~ ~YI\ • _J~+; f~r~1~' ~P i n(~ ; ' ~ ~ . . ~ , ~ _ • V C! t 1 ~ ~ - Y~' , ~ ' IJ64 OEC -9 P1~ 4• 46 • , z• . . • . , : ~ ~ ~i ~ ` ~ aOGER POiTRAS. C~ERK : . ; ' . ; _z ' ~ ~ . ' . , ~ ~ ; , . S1. ltiClE COUNTY. F R~0 ~ ~ : . ' ~ - . . ~ •,•`~j ~ _ - - . ~ ` . . - - ~ ~ _ . ~ e ~ . . ~ ~ ~ . i RJRTIiER CHt?iFY that 1 wil) oompiy with all atl9ar ~equirom~t~ts of a laqaf ~Id~t of.t#~~ Stata. ' ~ 1 FURTFiER CERTlFY that I have no (ntention to retum to my formar domicJla, and f intend to rematn ir~ l°4RT ` PtERCE. SAIN? LUCIE COUNTY, fLORIDA, permanently. ~ ~ . _ . . =g 1 ~ . . s _ • Itichard ~am ~s cbalson . . - {Addres:) ~ ; = : _ ~,,M..~~....., : ~ 9th llecembcr ` .:~b4 . ~~nlo~,,~ nd subscribed befare ms this day of ' . . 19 . ~ } - ~ .r" t~ I: ~h • t , _ s, , f~~ • . ~ ~ £ . - j " • j~~ • ~ ' _ ~ . * . , : a ~ . . ~ . . . . . - . . - ~ . . • ~ ~ _ . ~ . . ~ - ~ - . ~ • ' 1s , ' ~ P~OtO~I PN~IC .r • _ , ~ ; ' ~ ~ t~-- fl.c. My c~~~, .~~rt.~ ~ . .f , _ - : ~ . ' = • : ~ - o. ~ : _ K , (To b~ sx.cv~od ia d~rpiki~ts ~d oeigiwai fiMd wilb CI«!c C~rcrM tourt, .wd d~pikaN wi1M~'T,~ Ib~.~°~r . . . : ~ . . ~ . ~ ~ ~ . . - _ . . - - _ j . . . . . . . . . . _ - . . . . . . ~ ~ _ _ . _ ~ 4 _