HomeMy WebLinkAbout0205~a~ 1 25~
D~ciorotion of ~oi~~'itizenship
To TH$ sTaTS AND COUNTY Teu AsSSSSOR.
sir zvcis oovrrrY, Fro>~a:
This is my declaration of Doavidle aad Cit~ship in the state of Florida that I am lflin~ this day in
aooordsnce, and in conformity with Chapter 222, Section 222.17. FioricL Statutes.
PITTB PA.
I was formerly a >~ resident of _~ .. _ '_"' _._(~) __~____
(tkv)
900 'oar~ont ~~• _----------------- -__-. gowmer, I have changed my domidk
sa$ I rc~a~ied at .-- ---- ---------- --._.__ -
(8lerit aad Noe~b~r) ~cr~. _
to and am and have been a bona lids sesitieni of tae ~iaie ox >~jorcia eui~---------'"~-~'--------------_.___. ~=y =_
D~CBiB~ . 19 60_ gna i redde at.1>r~ Colsst3a Crt-~~_~~~.I,naia__.
__ (~ „d xoa~b~s)
~: p~.~v~ ~• ~rvTL-.
..._.CCUaty. I#lOiR3:y
(C[b)
and this statement is to be taken as my declaration of dti:enahip, actual legal residence snd aomidle in
the State of Florida.
(`I~wrt 1~ w w~+t taett. sncL ~~ sa4 at pert or bosinw. or t a[ ~mD~7awnt at
tames do~kiM. r~mo~al at ta~ib to nhr do®k~. o[ ~e~. rya.)
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F~' F ;~NQ R COR EO
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f. ~. ~1r1. ~ r- •• ~. ~U
~1.~lUClE COUNTY FtUrc~uA
~~~~
I FURTHER CERTIFY that I wiIl resister at my local address when the registration booica reoQen,
and comply with all other requirements oZ a lesal resident o! this $tste.
I I~TRR ~~~~ that I eve ~ mi~om ~ st~r~ri ~ ~ ion t~ieu"s. and I intend ~ r~aaia
Florida,
permaneed~jr,' ~
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