HomeMy WebLinkAbout1958 4
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. ~acl~ratton ot ~~rr~t~i~e ~~cl ~itix~~s~t8p~ .
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r TO THE SrAT~ AND COUNTY TAX ASS~SSOR, ~
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~ S'(, LUCIE COUNtY, FlORIpA: • ,
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~ This ia my decleretion of Llomicile and Citizenship ln tha S4ate of Florida that I am flling thi: dey (n accardonce end
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~ ` I wa: formerly a t~gal resident of Sussex NP~J~rsev
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f and I ~esided at R_
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~ to end am and have been a bona fide resident of the Stete of Fiorida sinte 1St day of
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Decembex , 1964 , and 1 reside at _Rt 2 Bo 23 4~ Pwe{~d P~l~ ~
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FORT MERCE, SAINT LUCIE COUNtY, fIORIflA . ~ • .
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and this statement i: ta be taken as my declaratlon of cliizenship, actua! legal residence and domicile In tfi~ Stats of Hotid~.
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i (Insert here any po~tinent fads, such as sale of property or business, or ~elinquishment of empiayment
~ at forrttar damicAo, removal of family to new domicile, pu~chase of home, etc.) ~ • . ;
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_ Bstablishing residency ~ t+ tiECpqpEp ''a~' y! s.~ o!;
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_ _ 1964 DEC I 7 AM 10: t~ ~
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` . ST. tUC f COU~Tr FIp~ERK , ~
, • RIDA . 1
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; . 1 FURTH~R CERTlfY that i wtil oa~nply witfi ali othet requiremeMs of a layal re:{dent of th{: State.~ . ~
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? , 1 FURTHER CERTIFY that I have no intention to rotum to my former cfomttJle, and 1 intond to ramaln In FORT
~ PIERCE, SAINT LUCIE COUNTY, FLORIDA, permaneniiy. ~
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- . ~ X ~i~e~~ .fi,~~,~ ~ ~ .
ti'T ''t pt ~ H ( arr?e) ~
~ erbert An~rew ~'rins~?~
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• ~ • r- . . . f ' • t _ (/~1Cld~ett) : .
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~ 1? December . 64
~ ~~:~vo4n to and iubscribcd before me this day of ~q , ~
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~ ~ ROi~ER POtTRAS
£ K CiRC fT C~l1RY Notary PubJk
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` ~ By D.C. . My Commiutan explres
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~ . (To b~ ~x~c++hd tn dupitsah and ori~al fiNd witi~ Clwk Carwit Court, and dvpileah wili~ Ts~t AtMao~a
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