HomeMy WebLinkAbout0256i X13
Declarotion o~~0~ m~c~~v ~'Citiienship
TO THE STATE AND COUNTY TA~ A888~BOR,
St. Lnoi• OOUNTY, FLORIDS:
Ttiis is my dec]aratioa of Domidle sad Ctti~aship in the State of P7oarida that I sm !!fins thi. dq in
accordance, and in oonlormity with Chapter 222, Section 222.17, Florida $tatntes.
I -was formerfY a !seal residea~t a! .Sollina~ill • , ~~.~__
(Ctf,) (Stec)
_ ,_
~- - -
and I resided at_--------k~~__~~~~~~~r~~e!~e.----•----____-. However, 1 hsve chanced my domicile
•.. g.,A e+n And }~wvw ~?Z 9 b[>nA }ida t~irlAnt nt t1+w Qfntn ~-! Flnrid~ wi,±wn _ _ 9R _~;,, ~~
... .._.» ..Y....._ - - - - - - ~-- --- - -- - ----- -- - ------ ------- ..~-----------------------
October Q4 171 Celeatia Court Port Str Lnoie
_. (Strut sad Nn>ob~s)
lr6rt Pio.ao 8ti Lnoie
__-- ------- ___-- __-. __ ~_____________. ~_County, Florida,
(Cib)
and this statement is to be taken as my declaratiaai of citizenship, actnaf !seal residence and domicile in
the State of Florida.
i r~ domi~. ~F~a1n~ ~~ ~~doadom~e[N. p~ebaM ad.~ibR~~oLLm~at d ~lopawa! at
OpDltyittiK for homesLaea ana widow oenef 3L
` 1-
. , ~ n n!1K
~, ~• ~(,
_. .~
~.,.
.~` • .~~
'. ~:-
~' -- --
..;: ,- "
. ,,,:
i r'ux'i'rir:x Cr:x'i'tt•'Y tnat "1 will resister at my local address when the resiatrstion cooks reopen,
and comply r:ith all other .~•..:rcmei:ta tsf 3'_e f ~t,~6rs ~.! :ht. dt~+:.,
I FURTHER CERTIFY that I nave no intention to return to my former domicile, and I intend to remain
in____---------~y--P~,er-~o~-- -------------___~________. --~.~I~tiQi~---------~_County. P'lsrlda,
(cam)
permanently. '~ l
_~~ -1- `~__~ ------------______--_
(Naar)
Yr8 - ~ ---------_--_-------
Sworn to and subscribed before me this-- a _______day of `~nJ '•~ `'`~" : ~~ '•
er Poitrae Clerk ofCirot#it Oonrt ~ ,~ ~:_ J ~ f 7`~ ~' ~ r,! • ~,j
(To b esasuted in doyikab aa~8 orisina] Nod wkh C3wt (fit Coost. sad dapiieata with Tait Aawwot)
Boma BuDDh Co., Plant Cit7, lla.
~_