HomeMy WebLinkAbout1794~aok 2`~ X394
Declarati ~~,t~i ~~p ~~d Citizenship
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TO THE STATE AND COUNTY TAX ASSESSOR,
n~ i.tiP.T 1E COUNTY. FLORIDA:
This is my dedaration of Domidle and Citiaanship in the Sta» of Florida that. l am filing this day in aooordanos and
in conformity with Chapter Z~2, Section 222.17, Honda Status. ~. i a
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hsident of-------------------- ~ -------- ~
1 was formerly • IeRa
R.D. 1 _____-• However, 1 have char+Rsd my domkils
and 1 resided at -----------------
-------------~ and tf~.ebu)
-------- ------- day of
to and am and have been a bona fide resident of the State of Florida since______'2n ----- -
Rt. 3 Bos 522-8
----------------
---. 19____-, and 1 reside at _____---- .~a ~~».1
-------------- ~T --------------------
County, Florida,
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tcMY) _
and this statement is to be taken as my declaration of dtizenship, actual Ipal residence and domidle in the Sta» of Fbrida.
` pnaaA bare a~Y fwti.w.d fade such a. aaM d property or bwYna. ~ ~ °f ""~ ~ fora+ar don~idla,
" raeoval of fanaty a +»vr domidta. f~~~ ~ ti0"~' otc~
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1762 JAli 13 AN la 33
g06ER POITRAS. CIEAK
fi. UOIE ~ItlNit. Fl1ItIB
istration books reopen, and comply with all
I FURTHER CERTIFY that 1 will register at my local address when the rag
other requirements of a ~~~nt of ~~ Ste». `'
i FURTHER CERTIFY the 1 hew tto intention b felvtn b ~ former domidle, and I intend b remain in
PI)i~CS S?. IACIE __-- County, Florid.,
wr,n.,,:mly
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