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HomeMy WebLinkAbout1652 ~ ~ ! ~ ~ ~ ~ De~l~ratt~n ~t Damlclt~ ~nd Citixenahtp i ~.,131~3~ ~ Y4 TF~E STATE RNd COUNTY TAX l~1SS~SSOR, , 2 ST. LUCIE ~OUNTY, FIORIDA: . ~ ~ : ~ ~ This is my declaraHon of Domidle and Cltizen3hlp In the State qf Fiorid~ that 1 am fllinq this~ day In eta+~d~ncs ~nd in conformity wifh Chepta~ ~22, Section 222.17, Flortda Statutea. . • , i was fo~me~ly a tegat resident of Brooklyn NCW ~o~~ (Ctty) (5tat~) •nd I re;ided at 410 ~v~b uc X i Howsvar 1 have chan9ed my domtcjla ~ . . _ • (Str~et and Number) to and bm a~d have bean a bona ftde ~esldant of the Siats of Fiorida aince ' 15 day of ~ ~ ~ . ~ . Ju ly ~ 64 fY 1602 N. 39th Street , 19 , and 1 roside st , - ~ ` (Strest s~d Numberj . ~ ~ fOR? fi~tCE, SAINT LtlCiE COUNTY, RORiDA , - and tMs statement i: to be takan as my daclarotion of citizenship, actual lega) resldence and dorntcile 1n th~s Sfeb of Flo~tda, ~Insert here any.partlnent facts, such as sale of property w bu:inesa, c~ ~eli~ui:hment of emptaymant ' ' . : ~ ; at former domicile, removal of family ta new domicite, pur~hase of home, a4c.) . ~ . . : ~.3~.4~2 ~ ~ - ~~Q REC Rp~p . ; 3iat:~ts~c~ i~rxaa~id~a~ae . ~~JRlClS . . g ~ 800 - - . K ~ ~ Bstab~ishing residenc~ , 1964 OF~ I~ AM 10: OS f,~ ~ ~ . : ROGER POITRkS, aEltK : ' ` : - _ ~ aT. LUCIE COUNIr, FLORIQd - : ~ . ~ ~ + I i . ~ - ~ •`.i ' . , , a.' . r ~ i ~ ~ ~ ~ . - . ; . ~ ~.'ih+s~ - ' ` . . ' g - ~,~~~~~~~i~~~~ ' ~ : - , . ~f ! if ~ ' , ~ ~ , . , - : , ' ' , M~~`;` i M . . , ' ' - _ . ~ ~t aj . : O , . ~ . . •.~~~~s : . . ~ ~ ,j . . _ , . ~ . ~~1 R = ~ ~ : ~ ! FUR7i~R C~RTlFY ttaat ! wil{ oomply with ~II oth~s ~equir~ta of ~ tepa! rasld~t ~of _tfi~ St~ts. - a• . . ~ , I FURTHER CERTlFY th~t !~have no intention to return to .my former cbmtcjl~, end i intdr~d fo remain 1n F4RT PIERCE. SAINT LUCIE COUNTY, PIORIDA, perinanently. ~ ~ ~ e . . ~ . . ~ S~. ' . . . - . . ~ ~ ~ i - Cc~/~~ ' . , ;;~t~,i t.;;t j` , , . (Nama) ~ . ~ S++'4~~~ ~~.~I~ _ ; ~ ' ~s.!:3~ ~ - Archie L. Kroul ~ . . f s • , ~ r ~ ~ % . {~1C~df~f~ . . " t - : . _ : _ ~ ` • ~ • ! ~r ' • _ i • , } ` . • ~ , . t ~ i'~,w~A to and subsuibsd beftxe m~ thit ~ 14 b day of ' DeCembes' 2'' ~g 64 ~ ` ~ ~ ~ . . . - _ ~ - . . . . RAO~ 'OITRa1S ~ ` - ~ ' CLERK CI COt1RT - Not~ry Publ~C ` . ~ , • . . : r 8~f~ ~.d..~ OrCr MX CpMnisslon explrp - _ - . - = ~:a~ ~~~5~ - . a, a. .x.w~d i~ a~p~a s~a .~.t Ai.a wM~ c~«rr ck~it c~ow~, .aa a~pwc.k will~ ~.oc A.......a . - . ~ , - r. _ ' F ~ ~ . - _ ~ . . . . _ . . . ~ ~ ;i7 _ _ . . - ~ . . . ~ - . .