HomeMy WebLinkAbout0223-- ~ -
U - t~eciarotion of-~~•1i~i~~~tizensbip
~`O TS$ aTATT AND COUNTY TA8 As8S88OR. -
8t. Lnoie OOUNTY~ FIARIDA: -
This is any deciaratioa oZ Domidle and Cltir~enahip is the State of Florida that i am tllina this day in
.accordance. and is conioranity with Chapter 222. $eotion ?22.17. Florida statutes.
B~.ntst_~r.~._ ---. ----~~ ) -------------
I was gor-m~3 s.~al resident el-- -- ---- - (ab>
and I resided at____•---_.___ ~#-Di-._____._____-_--• However, I Dave ctwt2eci my domicile
to and am and nave ~C@L a L1Y31i ~@ i~asiceat ~. t.r.~ a~zs,r w 1'iVii1~ -
DeOemb~r 19-~4-nd I reside ~~---------------------
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and this statement is to be taken u my declaration o! dtirenship~ actual legal residence and domidle in
the state of Florida. ,.oy~rt~ or
for dosisilw ~ at~~ to n.,~dom~tdM, pa~aM a[ ~i~e~~j•hm.at o~ ~mploya~.at ~t
~aitamliehing reaiaeaae
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I FUBTHES CFdiTiP'Y that I will register at n1y local address whoa the r~stration books reopen,
and comply with sU other requireayeats of a le~ai resident o! this Sbta
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