HomeMy WebLinkAbout1164Decldrotion ~. ~nt~Ydl~ Citizen:hip.
TO TH`E STI4TEiA~ ND COUNTY ~TttAX ASSESSO1-R,
3t.. ~~a CW~, FLORIDA:
- This is my dedaration of Domkile and Citis~anship in the StaN of Florida that I am filirq this day in aooordanoe,
and in conformity with Chap/er 2Z4, Section 4Y1.17, Florida Statutes.
1 was formerly a Ipal resWent of __-_ ~.~$~Q_--_-- ---------------=-----• --~~-YD~rk----- --
KNr) Wa.)
and I resided at____.~.1~11~.Et_AtBZiLte-----------------------. However. I have chargsc! my domicile
~r a~ t+umb.-)
b and am and have been a bona fide resident of tM Stah of Florida s(noa___..11~tb__________________day of
---Dacembe>`._------------------. 19_b1-, and I reside at _~,2OQ~oLtth-~iZ3.~----------------
. ~wr and llunb..)
__F.Q1~.Pie1"C.B------------------------------• ---------5~.--Lueia-------------- ~+nty, FlorWa,
tan-t
and this statement is b be taken1as my declaration of dtizenship, actual Ipal residence and domidle in the State
of Florida. -
~~ tNf. My Mf1~lIM~ t.~ ~IRtI M MM Or ~1'OpMly 0/ tMI~~1MMr OI f~IgllrtMMM Or M1~{drwlMM M tOf1,IM d0lvtal.
IrMll~t ~r iMlrr a Mw +OIIIICMR ~st+~ a• Mew, ~+~
$ntering child»8n in Public school:
3tephea D. Dabek in the 10th Grads
Joseph J. Dabek in the 7th Grade
11Tillilull Dabsk in the 6th Grade
- 1014-~7 ~',,~ "'' ,,.•~
A.~. •....au.......
~~ r'
1h B
• 1961 J~1-"Z'•' 22
. RODE P O~T~Sf O~A -
SS. CSC+`
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1 I~lII'iFIER CERTIFY that 1 will repi:hr et my local addrwa when the nptstration books reopen, and oDmpiy :sith
all other r«lulrernent: of a loyal naldarrt of thb StaN.
i IgJRT1~R CEitTIFY tfiat 1 haw no hNaMion to return to my forma domkiN, and 1 intard to amain tn____--
--~-~~~----~---------------- ---,- - -~-- gt. -~D~--------------- County, Honda,
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