HomeMy WebLinkAbout2095 ~ , . ~
atio~ o~ Oorn~i~ and C1tisMShtP ,
~ - - ~ ~ ~b'~9.~~
TO tME STATE AND COUt'1TY T/1X ASSESSOR.
Sj, lIJC1E C4UNN+ ~OR{~A: ~
that 1 sm filinq this d+r1l in aa~d~^a
dsclaratioa of Domidie a~d C1Y~nsh'p in th~ S~~» of Horid~
This fs ^^y ~ StNuh~s•
?n confom«M with Ch~pts~ 22Z, 222.17. Florid~ -
~hod~ Z~la?~atd
i a • ~St.»)
1 was torme+rlY s ~p'~ ~~t °f KitY)
1~ ?rLtl~ Hovr~+r~ t haw d+uq~d n^Y domlc~l+ .
ar~d i resided at 283 ~ and Numl~t)
14~
b and am and have losen s bons fid~ r~sideM of St~fe o~ flcrid~ sis+c~
and ~~aid. a 10 $ttia ~aed Nurnb~t)
19
~T ~T ~A i resid~na ~nd dorr?icil~ in 11~ Stst~t of
d~datata~ of dtinantt?1P. ad~~1 ips
snd this stateme~t is to ~ tak~n as ml?
or businass. at ttlinquisfimN~t of ~+Pb'Y~~
q~rt hers any pe~tineM fscts, such as sate ~ R~~~1? rd+~s~ of hon'~~
at form~r do^nic~l~. t°'r1O`~~I of fsmily to n~w d~'~~, ~
ari - 2 ahildrsn 1a dr HiBk soheol g it~UCECOUNTY !=I.A.
~t ~ RE.CORD VERiF1~0
„ 1 i~t Sl~ia~ntar7
- ~st oct i s~ i: i
' ~ G~R POiTRAS
~ CLERK CiRCU1T COURT
t
; ~
;
f
yy~1 O~1K fA~~f~M1MlK 1fi~f $~1~•
1 wttTNER C'~nFlr th.t 1 w1~1 coa+ah?
no intention to retun? to mY for~ domkite, and 1 intend 1a remsin in FORT
3 { H1RTH~R CERT~FY that 1 fiave
t .i.~_
~ SAft~i~'~ , KORtDA, permsnec'tly. . .
PtERCE. - ; ~ ~ ~h ~•a, fi~~~~ " ~i~?
4 ~
'.V`;~~ V , r~~.
• . •:g~~~ i'~~r ~iQ Pi~ag~ia
:?_-.Y~~:,,~ GQ~.~
_ ~ ~ .
,e•-
: ni '
i ~ ,
.
~ ~ ~`.~~,~t:~_;: ~ V . ~~il~~
~ :~~.li .~?v's _ ` .
~ . . . .
p ~1
-:~rr~f~;~ t ~~.`.L~~1~t~~ - .
` Oatobsr ~46.=• #
'•:rt~rt:~~~' ~
" 16th d,y of
~
y,~ro~n w and wb~~ befor~ mar thh .
~ ~ , - NoRary P~k
~pcr,~/t,Gu~ D
C. My G°mm~ssion expir~s
~'!i .
~ ~e3f11~ ~ `"rW~ q~elC Cina~ ~ ~ ~ T~oc A~~
~~~~M~~
~168 ~2i191 _ ~ _ . -
.
_ -
~F~ ` -