HomeMy WebLinkAbout1398__ OYiJ~ ~ ~{~7
" peclarotion ~T'LDCIE~~TY~~rA~tizen:hip
TO THE STATE AND COUNTY TAX ASSESSOR,
--fit , FIORIW~
This li my dedaratbn of Domidle and Citteanship in fhe StaN of Florida that 1 am filing this dsy in aooordana and
in conformity with Chapter ?Z2, Section 21.17, Fktrida Statutes.
1 wp formerly a legal resWent of_______-ILA.Ci--------------------------. ---~~~--------
!dM tM•~.)
and I resided st _________~5.4---~.x~~_~~-----------------• ~~, 1 have dun~sd my domidle
ptr.N M+d Nua~b.d
ro and am and have been • bona fide resident of the State of Florida since_____~4Sc.-------------------- day ~
=--------~1~L'luaL'~T----------------------, 19~_, and I reside at ----- ~~- ~-~ ---------
--------~art_Piar~at~- --------_- --- 3t. Lu~~-------- ~roY, Florida,
tan-i •
and this statement is to bs taken a: my dadarstion of dtizsnship, actual k~ai residence and domidle in the State of Florida.
0~ IMr. ~ PM1Yw~f fw~, wd~ w wM of proarlr a twtlrrK or rrl4~qulJr~nf d .n~pie~rm.nt N fanw domkiM,
nwaval of f.~r to row donAcW„ purchw of hewM, McJ
3taFing with father andtiothsr naa,ri.ll be getting house noon.
Entering Shsrr~ Lynla Patten la the 3rd grade of Fairlawn School.
$nteriag Linda Darletas in a3th grade in Jr. High School.
IN
1962 JAN -5 AM I I: 45
ROCER POtT~tAS. Qf~K
YT. Utff t11N Y. LiRle-
y71.
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1 FURTHER CERTIFY-that I wiH rpister et my local address when the rpistration books reopen, and comply wNh all
other requiterr~eMs of a IeRal resident of thb State.
I FURTHER CERTIFY that 1 hew no intention b return to my fonn»r domidle, and 1 inland to remain in
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--------------$~a_-------_- ~+MY• Florida,
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