HomeMy WebLinkAbout0442~R 1 ~4
-~ ST.
Deciorottoh o ~~ Is~~~nd .Citizenship
To THE sTaTB axD oovHTY Tax sox.
This is~haU- decissstion of Domkils and dip is tbs Sbte of Flarids that I stn !!lint this day in
socordaaoe: and in ooniormity with Chapter ~r Seetioa ~.17r Florida 3tatuitea.
i was icemed7 a kpl resident _oi •oolrioh --_ ~ ~ ---.----.--.
~..^' c ~
_ iaa~
and I resided:t_8~ __~rk_•~•~ -_- -----------------_.. However, I have chattpsd m7 doa4icik
- (8'terat sad Nao~b~) ~~~ 8@th
to snd sm and have been s bons i>de resident ~ at the State of Florida since-------------------------- -- -- --d~-Y ~of
~~ _ .~.~ ~ as ~~~ t n T_.w~ FA3`L 3t. t1.t2 i8
~'~ ~ 19 ~ and ,i reside a~ ~.:'~ '.°'i" --•. __;__ - __-
t8tr~ sad Nosbas)
w,.... n, _a,.,. ~ - . St_Iruai• n...._~. ~t~sae
_ ^~~`` r
^1/
and this statement is to be taken ss my decLrstion of dtisettahip. actual le~sl residetwe and domicile it-
the State of Florida. ~ .
t s~tsrr ~ tat ~ to ~ doa~k~. ~ ~~ awl ~ . ~ile~ a~ ~•ylo~m~aL of
purahassd a sow homes
-~
: n~ ~"_ ~
V
FlLEL~ 1ND R~EURGEu
IN ~~OOK
~Q~! JAS ~ 1 A'' 9:39
• - ., r ^ '~
I'~IUCIE COUNjY FLUnI~A
S ~. ~ .
~• '~
~~.1 =
~ ~ Y ~
~~ ~ f , ~
J.,,,:,.,,,,;,,,~,
I F'URTSEB CERTIFY that I will repiste:r at tn' local addtws when fbe se~istration books >,eopen,
and ooanpb- with aD other rsgniresnenb c~ a kpal resident a/? this 8bta .
I FU$THEB t~RTIP'Y t>sat I base to iatention to return to ttq- ~o~ domidle, and I intend to~rga~ssSain
_. - - G
pe~naaentbr. .
~.
7
. ~. ~ .
Swam to asr~ snbssrlbsd btdae~s ri! tL;` lldoy at .
>tiMM SIa1i d >fMeiis eR Latse •
•~y ~~es.. ~~~.L 1~4. _1f~IF~ -
~~
_~, ~:w ;
sh'R= ~ ~ j.~ ~ r s ~ ~ ,~
` *, '.•~ r
c ~'
r«
'; • 11,E _~.!
s,r,,.. sarw ~. ,R..R ass. Zti. -
'a!w etc 4ew~1e)
e ~ ~ -
~= ~:
~.