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Earl Counter
Declorotion- o~t~om~ i e ~d Citizenship
TO THE STATE AND COUNTY TAB A88,BSSOR.
at . Luo i e CovNTY, FZORIDA
This is my declaration of Domidle and tytiwahip in the State of Florida that i am !llintc this day in
accordance, and in ooniormity with Chapter 222, Section 222.1?, Florida Statutes.
Sootoh Plains AQ~_J~~sey
I was former-Iy a legal resident oi__.___-___~_...____ ttxV) ---------------____, _---..-----~S~a)
$ti8 ~tohnn8 . Terra~~-------------------------• Hc~-evs*, I have changed ~3- domicile
and I raslded at___--- __-- ---- -------- -
i~~ aed iv\\,ai„a-s) 18th -- ----- - -----------daY Of
to and sm and bave been a bona ifde resid~t of the State of Florida since-- ---- - --------
Xo~e>aber ____~'__ , 18~, and I reside at__a~le~_~~aw~a..-«w---~----~--~___~_._-
--- -_____----- (&rKt and Nwbr)
Port Piero•
_ St. Luoi•
-----cour-ty, Florida,
---- tcib)
and this statement is to be taken as my decLratian of dti:ecuhip, actual legal residence and domkile in
the State oi-Florida.
((Insert lw• aw w~~ i~e4, weh ~..al~ ~roysrti- ~ ~ ~ ~~n~m~at a[ ~malosmst d
lorsssr do~aielM. rsaw~al ~ !wilt to nsw do~ie~. pureaw
Pnrahased a new hose
~?1_~t~r
FILEC AND RECORDED
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i I+'[lIi'PH$R~ ~~~~ a ~tbiatbia $tatte. bas the rs8istratiou books reopen,
ird caaxplY witi:
I FUETHffii CESTIP7f that I have no intention to return to m7 former doaonidle, and I intend to remain
Port Piero• 9t.Lnoie __________Conaty, Florida.
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(71s M ~eslsi is do•ii~sls pi esipllat >3ilr! wWi CMh"
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