HomeMy WebLinkAbout2979 . ~ ~
. t~~~l~ration ~t D~e~icile and Cttizen~hip? '
.1.~223j. .
TO THE STATE AND COUNTY TAX ASSESSOR,
ST. IUCIE COUNYY, FLORIDA:
This is my declaration of Oomicile and Citizenship in the Stete of Florida that I am filing thi3 day in acmrdance and
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i im m~formity with Chapter 222, Section 222.17~ Florida Stetute:. •
i
~ Pit tsburg • P~n~•
~ I was formerly a legal reaident of - .
t (Siate)
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' ' P tt St le
~ ' and ! re:ided at 7709 B•nne s . However I have changed my domt4 ~
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, (Street and Number)
~ 15th da of
~ to and am and hav~ b~en a bona fide resident of the State of Fiorida slnco Y
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~eptember , ly 64, and i reside at 1A03 Ave. I
~ , (Stree4 and Numbar) . ~ ~
~ fORT PIEItCE, SAiNT LUCIE COUNYY, ~LORIDA ' ~
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i and this statement is to be taken as my declaration of citizenship, actual legal re~idente and damitila in the Steta of Horlda.
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` , ~ (Inserf here any pertinent facts, such as sale of p~operty or busines=, or relinquishment ot empioyment -
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~ urzhase of home, etc.)
; et former domicile, removal of family to new domicile, p _
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~ New Domicile ~ -
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~ 13223~. - ~ . ~
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~ = ~I AN RECORDED . -
- ~ 800K ~ ' o ~
- t: . ~1Cl~ RP.C ' .
~ IN - : ; ~
~ PM , . :
: _ ~.39 ~ ~ , ~
. ~ . 1965 JAt~ 4 ~ r, . ..ti; _
_ . ~A~ CL~RK . - ~ : ~ ~ . : y =
~ R~~ER ~pUt~1Y, FLORIOA ~ . • • . _ -
• LUCIE J ~ ' ,
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`€i i FURTHER GERTIFY that I will comply with ali other requtramants of a legal roaident of thit State.
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I FURTHER CERTIFY that I hava na intention to return to my formar domiCite, and I intsnd to remain tn FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~
~ ``~t~~~n~~~~~~,;;~~~ . •
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f ' ` • -
j ~ C, ° - . . (Name) , f
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; ~ _ - - - . ~ 1,; ~ _ . ~
_ i ! Milton L. Ov.~ens -
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, (Address)
~ i I `h • . ~ ` I ~
( ,,.;~I•....• ~ , - ;
~ - 4th .Tanuary . ~ , ~ ,s 65 . ~
. S~worn to and subseribed before mo this day of
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E -
F - ; ~f ~ !
: ~ ROGER POITRAS - ;
f • CtERK CIitCU1T COURT ~ Natary Public ~
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~ gr '~~s ~r.: D.C. My Commiislon exp(res
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(To bs ~x~cuted in duplicaro s~+d originat fil~d with Cl~rk Circvk Covro, snd dupliut~ wifh Tax A~ora
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- • e~RK rACf~~ . - _
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