HomeMy WebLinkAbout1807- -._ __ _~--_ - ~- . - g~~ . 27 rrw~407.
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TO THE STATE ANG COUNTY TAX ASSESSOR. -
$t.Lt>iCi• cnttt~y, lLORIDA:
This is my declaration of igomidle and Citiaenship in the State of Florida that 1 am filirp this day to sooordanoe and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
Philadelphia 16 Penn
wss formerly a legal resident of_______-__-_------- ~-----------------• ----------------------
twat
and I resided at ___~Ol_SOUth_Ha>rr>ptOn Road -------------------. Hovwwr, I haw chanRsd my domidle
-~.« .~a M.we«f
ro end am end haw been a bona fide resident of the State of Florida since-------etc------------------- day of
--------------t____--______L_-___-. 19__~L1, end I reside at 29.~Z_ SL~.~"_i se _Blv_d,~_,____--
ts,...i .~a r~«we..i
----------F~FL- R~.-o~4a-------------------- ----------------- County, Fkxida,
(CMTI ~ -
and this statement is ro be taken as my declaration of dtizenship, actual legal residence and domidle in the State of Florida.
On••~+ Mn +wY ptrtirnwt leers, wde ea seM of prop~Ay a busin~s., oa relinquhlerweeM of anployenwN tK foeeeep doeeekil~
ranovel of isewiy a eww dowekile, pewch+st, of teowee, Mea .
Establishing residency
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~, ~ = 3,., ~ "~ ~.:~ i~ •_ OVER p01TRy SElO ~ A
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~ ::*~ ~ : ~~. ~1 i ~ _~~ . LUCIE CpUN
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1 FURTHER CERTIFY that 1 will register at my local address when the registration books reopen, and comply with all
other requirements of a legal resident of this State.
i FURTHER CERTIFY that I have ra intention ro return ro my former domicile, and 1 intend to remain in
--- ----~'o>t•-t-P~et~e--------------------------• ----------------- ~S~..L]?i~~e ------- County, Florida,
cah)
permanently. nl ~~
- ~J7.t ---_.-- - . ---- r- ----------------_ -
W. Allen Riddick
--------- --------------------------- -
., = t `~- (Arlan..) - ----
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Sworn to and subscribed before me this______ Zst~ =~ ~• •y of Y 'n anu 19__x. _
j`~` , 4~ --' mil"-------------------------~ -
ROGER POITRAS • . .. ~ _
- - - -- R ---R POITRAS, CIRCUIT COURT i ,~. z~'~ , . ~ :; ~~ : ,~,: ' Notary Public
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BY - -- - -- - - - -- ------------ ---------- a~d '~• ~ • My..~rtrission expires-------------------------=
(T~ M aoseerls/ b ~ sri Mf/iwd ~ti~ ~~..~rlsU•~ ewa a.~w.w ~erM Tree Asseaeet
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