HomeMy WebLinkAbout0351Dsclcrotior>,~t~OrQlbfiY~~! Cihie~hip
TO THE STATE AND OOUNTY TAX ~IS~ES$OR, .
g'1'. ~~~ COIN~i1'Y, FWRi0J1: _ -
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This is my daclaratbn of Oomidle and CiHzerahip in the State of Florida that 1 am filirp thk day in accordance,
and in conformity with ChapNa 224. Sadion 222.17, Florida SNlutet. . -
l rwWeet of___-- HROOICLAMII ` ' N. J.
1 wet formerly a Iqa ------- -------------_--..-----• ----------------~---
lCMrl t1Mr.1
and i resided at_ 22~ ~~_aera~ atria ______----------------. r+oww«. I haw ~+anq.d my iomi~ile _
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to and am and haw been • bona fide resident of the State of Florida sinoe_-__-~~ -----------------da1r ~
---- DBCII~~-- ----------____-. 19_61-, and 1 aside at~ ~~ UTeatherb~ Roitd ________._-- _
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- -----Ftt_ Pi er~et ------------------------• ----~t,~..I+litcie~_---------------- ~~. Florida,
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and this :tatament is to be taken as my dedaratbn of cittaer-ship, actual Ipal residence and domicile in the State
of Florida.
Mwrt h.n «w p.r1i..~f tcM. wd. « d[ of prspelr « bi~Mwa « n1YgoWrMnt of Mplorn~.r M IoewwN danktl..
n~aMd of f~ilr a ~ doskll~, V~xel.w of IwM,. Mc.) ~ .
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19W Oa 18 AM II: 00
=RO oCIE BiUNiP S~IBIt~l1A~
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I FURTHER CERTIFY that I will rpister at my local address when tM registration books reopen, sad comply with
all other requirements of a legal resident of this State.
I FURTHER CERTIFY that i haw no intention m return to my former domidle, and I intend b remain in______
_ Jft_. ,~'ierco
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A • `J$wb0~,f • 7rf¢•subscribed before nx this _ 1~ _ _--
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------Sti:_Zi1~Sri4____.-----__--- County, Florida,
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Joha F. Irlacllt+rain
D$CENffiNN-------------• tq__61
---- day ~ ------------------
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Notary Public
gy ~/(Ztn~/~~((C!~A'ef~- _-- D.C. My Commission expires ---------------------------
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