HomeMy WebLinkAbout2228D~k~oti~ ST~IU[IE COWfTY, FIR. _
TO TFE STATE ANO COUNTY TAX A53~OR.
., _
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This is my dadaratlor of Oem+idN ~ CMisarMl~p in tM Stab of Honda 1hN 1 al~n filirq this day M aooordsna and
in conformity whh ~haphr ZZ2, Salton ZEZ.17. Honda 5talulaa.
I was formerly • Ipsl rwident of--------~.EL~-~~t~-----------------• -----''~' ~ ----------
° ~ _$~ ~ 1 haw changed fny domkile
and 1 resided at __--~+Q+ ~~ .e d M~ -------------------------` However,
-____-- da of
to and am and haw been a bona fide resident of the State of Florida since---------~~L-------- y
19_bl.-, and 1 reside st __-~~IIt1~-R~OiI> ~ ----------
---------- ~-~~B~bIS --------------i
1~Iailing Addreaa r,ty Honda
--_tllll Soltma_n__~!-e,1~FS..P~~ a.;----- ---------._SL~3aici~s------------ ~+ •
anc~ this statement is b be taken as my declaration of dtinenship, actual legal residence and domidle in the Stsro of Florida.
a~ ti«. «~ v«~~ f.a...,~ a. ad. a~f p~op.rb « bwre.w. « raUe,yuMhmnt:of .eaploym«et M t«mar domidM.
rano~val of family to n..v domkNa, preehaaa of Iwrn,, seeJ
.' ' .. ~02~00 .
IN ~tf~ci~ Eta
800K
1961 JAN 20 AM 10:2 I
STS./ UC E C08NTT fLBaRjp
_; ~ ~^` .
4 J 1~;~l-,,,.1
I 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.
1 FURTHER CERTIFY that 1 have no intention to return to my former domicile, and i intend to remain in
------F_C.P~sr~et--------- _,~.t._1.11C~s ----------- County, Florida,
----------- (tier)
permanently.
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4 : ~r X31; ~ C . ~.. .
. ~roA'~(u Ibld
• ... • • ~~__~ J
- - -~--
By __
~s _ _ _
111. A. St:hneide~
--4°-n~i~e ~~!d~-FL'pi~~c~e.~ F~Q~~d~
(I-ddr.aa)
before me th>s--------Z~h----_day ~ ---------=-~-3-a~a~-------- ---, i9_b2--
---------------------
CLERK CIRCUIT COURT
-------- o.c.
- -------------------
---------Notary Public
My Commisswn expires--------------------------
(r~ M .sae.ed is ~wala ao/ Kialad IMd .r11A Clnk Cleanse Cam. aa/ ~ vMU ias Aaaaaa~el
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