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HomeMy WebLinkAbout4674 ~ / Deciaration of Domicile and Citizenship %~•~-'~'~15 Tti~ sT,~~rt.~~~u c~c~u~~i~~~ ~~~:~x nsst ssc~k. _~~%~",~~-'-`~~~-c.l c~c~~~ti~~l~. t~LC~kti~~~: '[~iii. i, my ~irrlaratiun ut~ U~nni~il~ an~i ('itir~n:hi~, in th~ St:~tr c~F f=lurida that I am tilink thi; ~lay in ar~ur~tan~r. :~nct in a~ni<~r~tlitt~ witt~ Sc~•ti~»~ 1 7, {~lorida StatuR•~. !~~•a~ tormrrh~ a Irtal rrsi~lrni ut ~ Ltl f''L~~ . ' and t - - - - rrsiclrcl :~t 'l1jF' ~l~~'~' 4~ t_Z,l ~~~~'i?L_ ~~7! . Fiowrver. I hav~ rhan ~ed my domicil~ to (titrrrt ~nd tCumhrr? ai?ci am and hav~ h~•~ bc~n:~ ticlr r~,i~i~ iit of thr Stat~ c~f t=loricfa sincc _~~~C~' ~a~~ o! ` /~7 ~ ~ . 1 ~',f'- _ ;u~~l ! r~•.id.~ at .`~'f! lo _ ~4~~~It _~t_G_-_~~~~ ~ ~~f'~ ; ,r~ (Strerl 3nd Numt+er) ~~~~~s1~~~~t ~J'/`~-~ :~'~Z-E - . ~t t•~~t-~--''_ - _ Caunty. Florida, ~ ~c~~. i and tl~is stat~mrnt iti to br tak~n as m~ ~I~rl.irat~on ot citizemhi~~, actuai Icgal r~sidenre and domicite in the Stat~ ~~t Florida. (Im~•r. hrrr ~n> prthnrnt fart~, wch ~c wlr ~.f pruprrt~ ur hucinrti, ur rr6nyuishmrnt ot rmploymrM at G~nnrr dum~cile, runu~al uf f~mil> t~~ ne~~ dumir~lr. purcha~r uf Aume. rt..) ~ ~u~~~. ~ . \ ~ F 0 AMQ ItECO Eo f~li1C1E COUMIY~U. . IIOCER POlTRAS G~ • CLERK CIRCUIt COtI~'T ~ RECORO YEtt1FIE0~~,..~... .Mr 2 lr i~ ~N `i3 24~~'~1~ ~ ~ ; i 1 FUR~H~=R Ct:RTIFI" th:~i 1~~il1 r~•~i~t~•r .~t ~n~~ lo~al .,~i,iTt~, ~sh~n th~ r<<_i~[ratic~n hook: rco~~rn, and COili~~I1' ~1~iilt ,?!1 c~thc~r r~c~uir~m~nt~ ~~i I~_~.tf r~•si~l,nt c~f thi; Statr. E i s 1[=UlZTHh:R Cf:RTI(=Y [I~c~t I ha~c r.~, intrnlit~t~ t~~ r<turn tc> tny lonn~r d ni.:ile_ rin~t I int~ncl to r~main in ' `~'~~4G~.-t.{ <~~r'`"u,l - 'c ~ ~ - - • _~s,5's= ? - . t R tt~>'. f=luri~la. ~~:•rm.in~ntl~. r ~ [F: ~L ! . u(~Z ~~,1 ~ ~ ~ 1, • .I ~ ~1:imr) ` . . , . ; ' / J,~ / / r~ i~ 'iJ ~ -N'f/~1~~ ~G"Z'~2' ~i~eG£~~~~ . ~ ~ ~ , ~ 1 ,1Jdre.sl Q~t ~ i ; • 1 . - - S~~roni Kt;fn~l~u~~brEf~~~.l i,t•t~,r~ i~~~ th~. ~ ~i:.~ ~~I' - ~ • \ = _ c~, i ? , _ _ ~1~ . . ! 1 . ~ i.` +\~„1 i'-~, •~'~Gi C Gl~'f~t ~~V~rt.uc P~ihli. ~tatr uf 1 I.~n.1.~ ~t . ~i~ (~ummis.ic,~i ~ ~~,irr, ~ r- 1 {p - I lu hr r~r.;~[eJ i+r .L~~~I~..~~r urJ.,re.•~ree! 2z)r~1 ~~~ih t'1.•rl. t h.uit l'~~urt. und Juph.:~tr ~+uh Ta~ Ac~ec~url 800~c ~Uc~ NtGf ,~~5 / . , _ , . -