HomeMy WebLinkAbout0119_ ~ ~~ i X67
Declaration Soft Domi~il~ef and Citisenshi
p
TO THE STATE AND COUNTY TAB AS81~.98OIt,
4t.--iua1A COUNT7t, FLpBIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that I am Aling this day in
accordance, anti in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of-----_L~Adllllhv,TBt_a_-~jlg.__I.L1S11d-_---. _---_.~T81it_YOr]c_---_-___.
(~) - (8tata)
and I resided at- X11 -44L11___`~_~~s1At__-__.._._------------ - . -
_ -- _.__--. However, Ihave-changed my domicile
(Street sad Nnmbsr)
!!'~ff n.-w l.nnw a nww A.iw wntld..~4 .. •l. C«=s- • T.w--.-_.~_ t_-- 1p
tV Na\i4 AY\ pnd ::S• V \.VV\a Y ~iV\.« ..YY aw\4{rYY Vf wt'' ..ww Ol tlUt lllitt b1llt;C _ "!~ __ _ __ _ ________.Uriy DY
--------------D4SSmb-~r-------------------- 19---_-~Qand I reside at--------X41--,Stith--I.811d--Dtive---=----_---------------_-
(Street and Nnmber)
------' -----FQx~---P1QS~-----------------------------. ------~t •__Isicie--------------------------------- -----County, Florida,
(city)
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in
the State of Florida.
(Insert here say pertinent facts, such as sale os yropertyy or bwiness, or relinquishment of employmeaL at
former domicile. removal of family to new domicile, porelws of home, ete.)
Entering daughter , Louise 3ollitto in 10th Grade
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T L`T7DTLITi D l~~DTTL~V •1;...L T ...:1~ ~a.viw~ ..a ~~ ~ 7 dd~.a.•.. p1. •1. ..ngiw~ t2II71 ZFti.il' -^opcn~
- a YaauY 1 rY VH\1 ~V Ya V.~O \Gn Y\!G •i. JiL 41 i~J 1i.
Aflll l:VU1}lly ~t(1 All VL ICC I`C'1j11~iCI11C/lb3 V~ $ legal iCD1LLCnt Vl t.uia at&`ix'.
I FURTrIER CERTIFY that I have no intention to return to my former domicile, and I intend to remain
~----------------- Fart_~'ier~e------------ ---------------------------. -------~-t•---Lu~ae-----------------:----------------County, Florida,
caty)
permanently.
(Name)
Annasollitto
---------------------------------------------------------------------------------------
(Address)
Sworn to and subscribed before me thie___ 3-__ __--day of
---Jenuery-____-_____-_______~-.-._____, A. D. 1941__.
Roger Poitras, Clerk ofCi>PCUit Court
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(To be executed in dupliab and original Algid with Clerk Ctreuk Conn, sad dnplieate with Taz Assessor)
Nowen HupDl1 i'o., Flint Ctf~, Fla.