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HomeMy WebLinkAbout0439 ~ ~~{"at~1f1 O~ ~OIS1~1~ ~11f~ ~~lMi~ TO THE STAT~ AND COUNTY TAX A~SSESSOR, - ST. WCIE COUNTY. fIORIDA: This ls my d~daration of Oomidl~ and Citl~nship in th~ Stat~ af florkb Mwt 1~m Nlirp 1fib diy In aooor~~ p~d in confamity with CMp~ ZZZ, S~ttion 22'1.17, Horida Statuh~. ~ w„ for~„K~y ~ ~,~a~ ~td~t o# Bevinaville ICeatucky ~bl (Stat~) ~nd 1 raid~d at Box 91 1~~ (Strwt snd Num!»r) ro and am snd F»w baa~ a bon~ fid~ resid~m ot th~ Stat~ of Horlda sinos 15 tb Dece~ber , iq 68 ~ ~ ~,903 Binnep Driv~ ~ tStro~t a~d NumbK) 1'O~T l~CR i~AMlT LtIC~ COtiNTY, lL~ORIDA and this stafere~t is ro be tak~n as rny dedaration of dti~n~ip, actvai le~al rosideno~ a~d damkil~ in th~ Stah of Florkls. p~usrt Mro amr pertin~M fath, wch as sak of propeHy or busin~ss, or roifnc~uish~r~snt of e~r~plo~rm~nt at forma do~midle, renw~val of famlly ~ nsvv domidl~, purthass of har~e, M~c.) Bstablishing reaidence and placing children i.n.achool FIt.EO A p . - : ~T.~~ : . ~ . Y ~i/,~G ~ '69 J~~I 3 AK Ip : 45 - N~ ROG~ CLERK CtR~UtT COURT 1 RIRTHER CgtTiFY that i wlli car~ply with a!I oRh~r nqulrarn~nfs o# • Ipa! r~ide~t of ihb Stah. f-F~lRTIiER CERTIFY fhat 1 have no inisntion to retum to my former dcmicjte, and t intend to ~amain in FORT ' ~.R • _ P~~.:SAINY" tC~1E COUtVTY, FLORIDA, permsnenNy. . ~tt~ r: ~i JI;%~.',.~s:. . : .~~-o _ . . a~ ; • , :••a - - X . f.. ~ . ~ - - ~ . . - ~ ~ - ~lrs Charies ( Linda~ Ray Hali - ~ ' ~ . : - . . _ ; ~ : - : , _ ~ ; y~~- - . J,,,~T.~~~ti~:~'~,:_ . ; , . tAddross) (1~••;...,w~., . .'~,f~;; ~ . - _ ~._.~h ~sV~IiC~I~ (~{Ofe ITIQ ~1~ ~rd day o~ _ January y ~~q ~ c a a. - . . . - ~iy~ • . .f~ ~ ~ _ Notaary Pubik gY D.C. My Commissfon ~xpi~ R~ b~ ~oacM~d f~ drplieM~ aAi ai~l ANd wNM Cl~k CieaiM Gwt. aad irpiial~ vrilb T~oc At~~a u 600K~~t~ PA~E ~ . _ - - ~ _ _ - - ; ~ ~