HomeMy WebLinkAbout1329- ~ ~~~ 3
ST. ~~ COUNT . F ~.
Declorotion of Dom~c~~e on~ ~itizen:hip
TO THE STATE AND OOUNTY TAR A888~80R,
8eiatLnoi• COUIt1'Y~ ~p~e;
This L my dedaratiae of Domidk and Cit~ahip in tbs State of Florida that I am fllin~ this day in
accordance, and in conformity with Chapter 282, Section 228.17, Florida Statutes.
I was iarmerly a legal *esideat of liilwanlcee wisoonain
tCtq-) (8tat~)
~>~ T „a~iiiari ar 3873 N_ 'S2nd gtra>at___--____________________-_-. However. I have chansESl my domicile
- tSt»at ~sd X>~b~r)
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to and am and have been a bona llde resident of the State of Florida since----------------- ~o ~----•----------.-day of
------____-- t~~+gtem~er _- _ 19__4A and I reside as___~40__E~Sito _~onrt-~_ Port-- 8t,-Luc~e_---:
----- ---• (Stewt sad Namb~s)
______~'ort Pieroe _~_., ~-_-~,`~~_T ~._County, Florida,
(Clb)
and this statement is to be taken as my declaration of dtisenship, actual legal reddencs and domicile in
the State of F1orWa.
(I>~t her W p~rCioa-L tasv. weh as ~a4 a[ ytri os bodma~. or trlioanisha~t a~ ~plo7m~et st
!o:>,wr do®feil~. r~mo~al o[ i~11f to new dom3e~. a~ >,o~. ~.)
Homestead,
- ~ 43~ -
FIlEO ANO R COROEO
IN 800K
~/ ~~ . 36
1961 JaN 30 Pty 12 K
ROGER COUNRY f l0`R ~A
gI, lsUC1E ,~.
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I FURTHER CERTIFY that I will re~Ltsr at my local address when the =+ss3stratio~- books reopen,
sad r^~,*+p~ !lith a1 llthllr r!~I~ire~meats Oi a legal rc!dent ai t..is State.
I FURTSER CERTIFY that I have no intsatiou to rekurn to ~ fa~mar domicile. snd I intend to remain
~ rt Marna end. Countlr
per. (~) . ,
4ordoa H. Lora
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C~ be sawo/at d eat .eitoisat fiM watt CMd~ Crtiesrt Qe~ie~;'~~ wt~ ~s Aw~s~e)
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