HomeMy WebLinkAbout0451- ~~~ ~~ ~ ~ 51,5... _~ - ; ti ; -
Dedorotion ~~arni~'-~~set~ip
TO T8~ BTATS AND OOUI~i'1'Y' TAZ ll~~@1~~O~t.. .. '
Si'.IACI~ - mUN1R. ~LO~itIDA:
This is m7 dec3aratioa ai Domiaiie and Cttb~:tp in tb~ State of Florida that I ass ~ this day in
aeoo~rdanoe, and in oonia:mity with Chaffer 8i'~ Sactioa 9l~.1T. P`lwi~da Statates.
I was io~il- a kpl residsat of ~~~ ~~~----.
(Ctb) (saa)
18931 8toepa~t Bt . _. Howagrer, I ham ehao~iad :.~r d:~:N
~64wt sad Namb~e)
to a~ am and have been a bons ltde resident of the State of Florida ainee___--.----1~-----------------_-.__day at
Dee_!_ tier ~ . 19 `~ and I reside at-mil ~~~ro items
_____-_w (atswt sad Nasbre)
Dort Pi~~'~.~ ---. _4t_I~eia -+_CouatY, •
-- (cxb)
and this statearent is to be taken ss iqy dedaraticn o! dtisenahip, actual le~ai residence and damieiie in
the State of F'io:ida.
fog ~. ~ssilr~ a ~dosnie~.. po*raa~ a ~ibe~nis~at d ssplO7aNt st
,... .- ~ .
S i. LUCK COUNTY, FLO~ciuA •w,,
1 FURTHER CERTIFY that I will register at my local address when the re~iatrstion books reopen,
..,.; wu~~; ~:w ~;; ~si;o~ ~.t:-~m~tB of a leas! resident of thin State.
I FURTHER CERTIFY that I have no intention to return to a0.y former domicile. and I intend to remain
Dort Piero • - 8t . Leta i • ~_~_,_~~,. Florida,
ia______~------_------- _____._, -
(caa) ,
permanently. ~' ~iiif/` _^---______-__--
(Nasw)
•lirsd Ciuriit
~.:..
Sworn to sad: ~ . ~ ',~qe'e ass ~--- ],l--may °S
atMisr
~ .,, •
(Ti be a~oae~l~ ~: -a ~ si.d wish Q~ek (~resk Covet, asd dads with 11uc Asswsee)
ep... s:oe~s oa, r~uc cas. sue.