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Home My WebLink About1649 ~ ~ ~e~l~ratlan ~ar~i~ll~ ar~d Cltiscenshlp ~~~C~ . ~ 70 TN~ STATE AND COt1NYY 7AX ASSESSOR, ~ ST. LUCIE Ci?iJNTY, PlORt6A; : ; ~ , • . ; _ Yhis Is my d~clarati~n of Oomicile and Citi~enship in the Sta1o of Floride thet 1 am fiti~?q thi~ day tr1 aooord~r~ and ; . ~ in conformfty wtth Che~tar 222, Sett~o~ 422.17, Flaida Stetutes. . . : . . ~ i ! was fo~marly a iegai rasident of Ysl~~d NtW YOd~k ~ ~ (City) . ~ (Stat~~ . , ~ . ~ ~ Ave.. ~ _ • - a~d i resided ~t 9 GxanadA West , Lindenhurst , HorlvfvK 1 hevQ dtanQad my domWls ~ (Streat and Number) . ta and am and have bean a bona f(de rasident of fhe Stete of Florida :inca la day of . ~ October 64 ~ 4001 Avea~ue P ~ , 19 , and 1 reside et - (St~e~t and Number) ~ . ~ FORT r1ERCE, SAINT LUCI~ C4UN~'Y, FLO~iOA ar~d tht: stotement ti to be taken aa my decieration of citizenship, utual logal ~~Idance and domklle tn ttte Stafs of Fiorida. ; ~ i (1~3ert here any pertinent facts, such a: iale af property or bu:iness, ar roHnqvtthment of amploym~n! at kxmer domicile, remavai af: family to naw ~omicite, Rurchase of home, etc.) • ~ - ~ . ~ . . ~ Bstablishing residenc8 ` ~ . : - 13~ _ ~ - ` ; ~ ~ ~8'~ . _ i ~ ~ . ; _ : t_~ y~{., . flLEO AND RECQRDEO : . ~ . ~ BOOK ~ - oa.;~r,~q :~z ~ D~C t 4 s • . AM 9: 28 ~ ~ ~ ~ : ' ; ~d ~ ~ , y1, ~ ~ ~ ROGER POITRAS t~ ~ ! ~ t:- ~ ~.,~~1. M ~ $T. LUCIf COt1Ntr, F~ORI ` ~ ~ ~ ~ . ~ : _ ~ ' _ ' ; ; • . . . ~ , r . ~ ~ ~ ~ , . - ` ' ~ y = - , , - . - ~ - ~ ~ , s - . - ~ , ~ ~ ~ ~ ~ . . . . ~ _ F . i ~ ~ ~ - ~ , ~ t - . ~ j . . : . . . ' ~ - ~ . ' . : . . ~ . . . . . . ~ ! RJRTHER CfRTiFY thst 1 wlll aomply wttfi aii othK requtnrr~snh of ~ IoQal rald~rtt of tf~t~ Sp~is.' ~ . . . - ~ . . . . . ~ -'r S . ~ . ~ . . . . ' . . . . . . : ' • ' . ' ' . . • " . . ~ ~ ~ ~ • . , T : . ~ I FURTHER CERTIFY that i have r~o tntentlon to return ta my #~rmar domtc,lle, an~d I intsnd ta nmain M~FORT . . d PIERCE, SAlNT LUCIE COUNTY, FLORIDA, p~rmanentty. ' . _ - s _ f r • /f,. GP, . ~ _ a 1 . ` . ~ , Nama . ~ ( ~ . . r ~ ' ~ .s,~~ ~:~;t~~ . ' ~ ~~-~~~~.o . Johat Aaderson . - ~ :.3; i . . Y - -u.a3~~~ tAddrrss) ' ' ~ ~'-s, - ~ ti~.t,,~~~: 3 ~ ' ~ • . . _ : ~ .a~s,~. ~ . ~ •~~.4 t"}~rorbato and wbscribed bofon n~ tfiis 14 . ~y ~ D~CCSt~e~c .:14~. ~ . ' , . - t t - - _ ~ ' . R~OGER rOfT'RA: . . - ~ . ~ . ? . . _ ~ ClERK C'!Nt COURa • - Motar~ Pubik ~ ~ . , ' ~g~ ~ ~ ` C.C. M,y CoRim~ssion ~xpka - . . . , e - - ~ ~ ~ - ~ eb~~ ~~Q~ Ei~~~~~ - : . . 4. .~.~.a M ~a~. ~«a ~ ~.a ~r c~ +c~ c~+, ~r~. Y~ x«...Ka - _ . - . , - - - _ _ - : _ - . . . . : J ~ . . . _s . r ~ . ; . - . . . . ` . . ' " . . . . . . . . . ~ - . . . . . _ . . . . . ~ . ~ ~ ' f _