HomeMy WebLinkAbout1170s ~ 8~~ ~ X470
peclcrvtio~T.@fc~p~+d~V~ll~~and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR.
3t. _hucie ~~, H.ORIDA:
This is my dedaratbn of Domidle and CitizsnshiP in the SfNe of Honda that 1 am filing this day in aooordana,
and in aonforn-ity with Citaptsr 222. Section 222.17. Honda Statute. -
1 was formerly a Ipal resident of_____$lIDhtu~cat__---~---- ~i-----------• -I11.inOia.._____--
• _ ttwd .
__-. Howrver, I haw chanRad my domidle
and I resided N_____-1.1Q_ ~ ~ ~~ ------------------
fo and am and haw bean a bona fide resident of tM State of Honda sins__-- ;1t~------------
---____-, 19_51_, and I ieside et _:. 4].2._~28~4~ _~~~$#------------
------~~i------------ .. ~.« Na s«~~e..t
--------3~.-3~ttOi@------------ ~+MY. Honda,
. ------------~'e~t-~i~ s-------------------• --
and this statement is to be taken as my dedaration of dtiaansl~ip, actual IeRal nssidenoa and domkile in the Sh»
of Honda.
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Establish Raeidenay
101462
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1 fl11CT1fER CHtTiFlf dlaf 1 wiN rapister at my lOtat address when .tile teglattatlOrl books reopen, and Cornply with
ail o1hK n~ of • legal ~~ ~ thb Stahl. ~
1 FURTIf~R CidtTIFY ttiat 1 haw no inNntion b rNutn to my former ebnrkilo, and t Mtend to remain in____--
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•tarb~cribed b~fon nl~ thN_ . ~ - : d~'l-
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