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Home My WebLink About1650 .4 ' ~ i. : ~ ~ . D~ci~r~tlon ~f Qom1~11e and Citlzeo~~hip : t ~ ~ . .t.3~.4~~ - . . . . ~ TO CME STAT~ AND C4UNTY TAX ASSE~SOR, ST. LUCIE ~OUNYY, FIORIDA: : ~ - . ~ ! . . , . ~ ' - ~ ~ ~ ~ ~ i Thh is my daclaratlon of Domlcile and Citizenship in the State of Florida that 1 em filin~ tfiis day in aaord~nt~ and ~ i~ ~ in conformity with Chapter ~22, Sectton 2Z2,17, Ftoride Stetutea. ~ ~ . ~ . . ~ ~ Brock Port ' . New York j i wa: forme~ly a tega! resident af ~ (City) (Ststs) . end i reaided at 82 Adams S~ . Hovvever 1 hava zhar?qed my da~mklte (Sireet and Number) . - . . ~ ~ b and ~m and have bean a bona fi~e resident of tha State of Elorida . stnca ~~~L , day of ~ . y . . ~ . . November , ~q 64 , and I restde at ~ 909 Del. Ave. ~ ~ ~ (Streat snd Numbe~t) ~ ' ~ fORT !'1'FRCE, SAINT tUC1E CQtIN?~, ~LORlDA . . ' i and thi: statement !s to be tAken aa my dalaratian af citizenahip, a~4ual legal residence and domitiile In fhs Stot~ of Hotida. ~ . (Insert here any pertinant facts, such as :al~ of property or businesa, or rel(nqutthment of amplaym~?t at former domicile, ~emova) of farnily to new domicile, purchase of home, ets.) ; _ ~ ~ - ~ ~ ~ . ~ ~ ~ , ~ ~ ~ ~ • . : . ~ : , : Bstablishing reside~cy . . ~ ~ ~ ~ - i ~ ~ _ . . ~ ' ~ - ~ . . _ _r 13Z490 ' ~ ` ~ :t i I r t t ~ . _ - . ~ ; . ~~D . ~ , ° ~ F s: ~ , ` ~ ~ . . - ANQ RECORQED ~ ~ ~ _ . ~ ` ~ ° ' z . ~ e ~ooK , , ~ , . ~ ~ ~ . . ; _ I ' ~ 1 ~ . ~ , , : ~ ! 9. 31 r! i : . ~ : : I . • p 4 t~ ' ~ z ~ ~964 D~C 1 . ~ _ : ,-x , , _ . ~ IT~AS : x . ~ ~ . . , i ~ _ - ROGER P~ IOR~i~ ~ , ~ ; ; `,~i , ~r~,-~ ~ ~ ~ 1. IUCiE Co~Nj~f~ f , ~ • . ~ - . i ~ ~ ~ ~ . ~ 1) ~ - ~y ' ~ ~ . . . ' _ . ~ 1 ~ ~ . ; . .sr - , . , . . R ~ ' . i ' , - ~~p ~ ' ~ . . " . . " _ i . ~ - . . _ . ~ . - . . _ j,. f - ? . ; _ . ~ - . . ~ ` ` . ' . ~ ~ . _ ! fURTHER CERT{FY that I wil~ oompiy wtth ail othar requiramtn~ of a I~gal ~ld~nt of this Shh. . . ~ , ~ • . ~ - _ ' 1 FIiRTIiER CERTiFY that 1 hav~a no intantion to retum to my forma~ domic}!s, and ! lnten~d to rem~tn in FC?RT ~ ~ , PIERCE. SAINT lUC1E COUNTY~ FLORIDA, permanantly. ; - , . ; ~ , . ~ ~ ~ y ~ ' 4 - ~,.';i~ 4 ~ ` } ° ~ , ,......,,~t - ~~±~.?t :1,~ H, gh Geb~i~~Go table . . i` S - ~ . ' ' }+r.~ • ~ • . ~ . w ; • . _ . ~ : ~ ~ : t/~Wdr.u) . • ~ • - ~r , ' . ~ . . . K - ~ ~ ~ ' : . . ~ . . , ' _ . • „ ~ • ~ ' . . . r ~ t ~ ~ . - ' . . . . . . ~ ; ` 14th - 3ridrn4~ s~d wb:cribsd befo~e ms this day of ~centbtr „ 19.~t~. ~ . • . - - - - , . ~ - ~ ' . _ - ROGER '01TR1?~ . . ~ : CiRCUn' , . . ~ Notary. PuWle , . f • f f =t - ~ e`y+..'~'~. D.C. • ; My Commi~aion wcptrot ' - _ ~ . . . f _ - - " . • ' . . _ . : • _f ' ; (T4 ~ ~CYIN~ ~11 dY~t~h ~ Of~A~ ~ 1M~ ~ ~f CMM1~ ~ ~OMr ~ Y~OI ~MMN'.~ , , , _ . ec~~ ~ ~QS. ri?~~~~ - - . - . . . , =i r ~ = ~ _ ~ ~s~ i ~ t-b;