HomeMy WebLinkAbout1640~o~x 3 3fi2
Declorotion Tb~~~om~ci~e sand Citizenship
To THS sTSTS ARID COUNTY TAZ ae8~e4x.
dt L.ei~ CQUNTY, FLORIDA:
This is my deelaratian at Domidle and tship in the State of Ffo:ids that I am slip` thin day in
aooordaaoe, and in ooniora4ity with Chapter ~. $eation Y.~.17. Flosida 3atntee.
I was fa'merly a legal resident ad - Princeton _8. Jsrse~_~
idtr) (eaa)
and I resided at__---__-_-- ---__-_._ 94 ~llie4~ ._w._____------.. However. I have changed my doanidle
{ aae ~;}
to and am sari have been a bona aria resident ad the 3ats of Fbrlda since-------------...----------------___---day of
---------_-_--_-- --Jn~~ -._._.._~ 18..E and I reside at E406 •~1~,antin Baeoh B~__~,~~oh
cetr..t and NonMr)
F4~~~.8• ~ St~aLnoi~. .~_County. Florida,
(car)
and this aatement is to bs taken as mY dealaratiaa of dtisenship. actual legal residence and domicile in
the sate of Fiorids.
((I,~at ~ aeV ~rtinoat teats, weti a~ ~a3e ~ or Dodara. or rdiagaish~at a[ ~o>~L ~
isa~nsr doaeiepw rtmo~al d lsssll~ to ~ do®ie~. ~se d tiowr fie.)
homssteadins.
92140
FIIER AND RECOROEO
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RosER POITRAs ~C
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and oontp~ with aUaU other regniresnents at a legal aresident ct t~ fib. ~ ~ ~
1 F`tiBTI;ER C~TiI+'Y t$at I have no iate~ttlom do x~atrn to m~- t domicl<a, and I intsad to remain
is ior9 PisrQ,e ~ Cooa#y. Floeida.
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