HomeMy WebLinkAbout0501_- ~ ~ ~ -
- ,- ST. ~tlt~ NJNTY. ALA.
Declalrotion of Dornici~ and ~itisenship
TO THE STATE AND COUNTY TAZ A84E88~OR.
gt. Lnoi• apUNTY.1rLORIDA:
Thi• ~ ~,~aration of Domidle sad Citisestship in the State of Florida that I am Aline this dcq in
socordance, and in conformity with Chapter 282. Section 822.17. Florida Statutes.
~~~t~~~ S~ar~aeato Cniilornie
* ~_ t~~r~~ia s ~AOI~ i~a.~lt of _.-~-"----__-_----__- -~T._.-_. - ~~ -~ -____-_--.
and I resided at___-.- -3BQ0__.Pl~nnth nr~~.~i.--Hfghldmde However, I have chaffed ini' domicile
tst~«t asd xn~? EO
tom,.-_. _t +1,.. Q~w~.. ..f ~79.+.Li~ ~iwwn ----day Of
to and am and have been a oo~u- ficio : ~:....,..,.......,. ~ _ .. _ . .. -_ . -- -
d 18 ~A .. a~ ~ Tom, a ~..RS t 'f ~ f1~~1 ~~
-- ~/ and I rea-oe aL~- - --- '--
-----------_-yam----------------- --• - _: (8tewt sad xnasbar)
Dort Pierce St. Loden ~ ~~__-_._ ___Connty, Florida,
ccxt,~
and this statement is to be taken as my declaration of dtizenahip, actual legal residence and domicile in
the State of Florida.
fora~r dom eni. ~~~~ ~ to niw domle~. DnrehsM a.o~s~niaLmoat o~ osylo~moet nt
ApplTing for homeatsad
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li~)GER POITRAS, CLEFK
S ~. IUCIE COUNTY, FLOfic:;A Ci~
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`i~ ~ }w- ..i w.h yf!!•`4~1 R.~I~~"!.!!!4 M~1.'!1 4..~ 2'~C ~t~d'Tia-~iLi0.7 'v`C.L•i.~ ~~~}rte,
t ~r'Uk'iri~:ic c.~nii~ i iij,.t I ~:,., :~8.:...... ~. -~„ -
and comply with all other requirements of a legal resident o! this State.
I FUR+THEB-CEBTIF'~ that I have no intention to retura to my former domicile, and I ' d to remain
Dort ePierae 3t .Lucie
_ ty, .
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permanent]y. _~-~.• - --
-- ----- ----- __ (Nana) -----
Sworn to and subscribed before me thie.12__-_---day of
J r~~!~ -----------------------. A. D. 18-63.
er Poitrae, Clerk olCiratiit
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1Fillie~_ ~ Pedlowe1__Jr_'-_-_---
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Court t N,
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(To bt executed in dnylkab and oriRfnai 111ed with U~rk Cireait Court. sad duplieata with Ta: Aisaaor)
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FILEt- AKD RECORDED
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