HomeMy WebLinkAbout0228~~ ~~ 1' ~
Declaration' ~~~i~~•®nd Citizenship
so T~ sraTS ~ oourrrsr Tan sox,
St.Lioi• OOUt~1'Y~ ~~~:
Tisia is my decLntion opt Domidls and (Iitiss~nsitip in the State of Fk+rida that I am Alms this dsy in
accordanoa, and in conformity with Chapter 2E8, Sortion 222.17, Florida Statutes.
I was formerly a legal reaWeut of.~__ Potpaao_ Beaah ---- l~lori de
~tl
and I resided at_------__luu hloolc 86th 8t, ._-- - - ----------_-_-. However, I have chanced my domicile
(8trat and Narba:) " - -
t~- /anri ,.~.. l~.1 1.....,. k.e„ ., 1..,-.. 4~. r._i~..-a ~ ~~._ oa ._ _ ~.. ., 1 ~• y
--, -..~.. ,..._.., ........ « .~........«..:.~....~.,......,~ y~s'.w of r,urwa aince_
~°"' _da of
-----------.Feb•-----_--_--------___-~, iS d~ai,d I r~iua st__ 300 Celeatia Court 1'~irt_St.L~ie_~--
• (sa:.i .na rro~.:~
------------- F.,ott__Piatee ----. -----3t..Lt~+a1a--_._-_-~_-____--~~b-. F7o~ida,
(a~,)
and this statement is to be taken as my declaration of dtisenahip, actual legal residence and domidle in
the State of Florida.
f r~mtr ~i~~i. ~ ~ f~amib~ n ~doa4ie~M. ~arcbtw o~ 6oa~N. ~jla~oi~Lm~t ad ~m~lorm~at at
Pural~esed a new home in !'eb. of 1980
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91220
F!-_EC t,P~D F:~CG,ZDED
. _:: 1'vili~~.
S.. LUCIE COUNTY, t ! u,:~.A
mac.
I FURTHER CERTIFY that I will register at ~q local address when the registration books reopen,
and rnm~+iy witi± ail a*I;or r Yuirementa of a legal rt~,side:.t ui this State.
I FURTHER CERTIFY that I have no intention to return to tnq former domicile, and I intend to remain
• Fora Pierce
m--------------- --
permanently.
Sworn to and subscribed before me this----8--_---day of
---- -------18n//u//e~r~-------------, A. D. 19-~1
xOtaT~ ~~! State at l7osida at Lsp
M Commission e:pires___ Jen. 15 1984
_ _ St . Zuc i_e _ ___-minty, p-lorida,
----------------_-----
;3 A.Guthrie (x`a°')
(Addrata)
. ` t~ ~' `~ - '' ~ ~
a 1 j~: :'~4 t~, .~lC
~ !•f Y' _
(To be euetuted in dnylka4 and orlRbial d1M with Qerk (areoit Qonst, and ~splkata wfth Tau Aaawr)
Bowen ~DDi7 Co.. Plant CIt7. Pia.