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HomeMy WebLinkAbout4679 ~J Deciaration of Domicile and Citizenship rc~ ~rti~-: sT~;~T.~~. :~~u c~c~u~~rti~ ~r~~~ ,~ss~ ssc~k. ~ ~~~'~'~~:0 t-(' ('Ul1\71'. l_UR1!):1: Thi. i. my ~Ir~larati~,n ~?1 t)~~mi~il.~ :~n~l ('itinn>hi4~ in th~ Stai. ot [~l~ri~la th:~t I am lilin~ this ~iay in a~runtanrr. :~n~1 in ~c~nt~~rmit~ ~vitli S«[i~~n 1;, t=1~~ri~1a Statu[~.. - I ~~~:u ii?rmrrl)• Ir,~;~l r~~i~i~ nt ~~I . ~ i ~ ~ ~ ~ r ~ ~ ~I , z.c~,; V Y > ~ a~~~l l Il'n> 1 (Statr) ~ l r~si~i~J :~t t R}'I~?-~ t c._c~ . Howr~•~r. 1 ha~~~ chan~rci my domirilc to Itilr~•it an.) lumhcrl ! an~1 am and l~a~~ hrrn a t~~?na titl~ rr,i~irnt ~~1 th~ St:itr ~~t Fiorida sincc f_ day ul , I~~~Lrr~~ . 1~> 7~, anct I rr,i~1~ at ~~fl~?~~?7~ 1/ l//-!!~' ~ lStrrr and Numbr?) C~ YI ~~h ~~~u ~1 j .%~-c~_ c, i~ ('ounty. Florida, tc',r, i • . .+n~l this statcmrnt is to h~ t;ikrn ;is tii} ~tcrl:irc~tion ~~f~ citii~n,liip, .~rtu~~! lrgal r~sid~nce and donticilc in th~ St~tc ul~ Florid:~. (Insrr. hrrr auy p~•~llnrnt faih. ~urh ~alr ~d ~~n~prrt> ur bu.mr~c. ur rrlinyuishmrnt uf rmplu?mrnt at fotmrr dom~cilr, rrm~~~:d ~~f tanuh u~ nr~~ d~.nucd.. purchau ~~f humr. rtr.l , , ~ ~ ~t t.~i~ ~ vy, ~~-~-ti-~--~ w } _'f; nrn ~~~z f ~t. ~ ~ ~ G . . • ~ S1[.~' `ff l~11/TY~ ~ROGER PDtTti~ ~~c :~~~ou~t ~ot , ~eao~ow£~aR~..,,,.,.,.,~ ~ iM 2 J~ r~ ~M'~,~ ~~~~'~'~2U ~ I E=I,RTI1t=.R (~t:R I~If=I' t1~at I~rill r~~~i,trr at n~~~ loral a~l~lr~ss ~~h~n th~ r~~•istr:?tion huok~ no~~~n. and ~om~~l}' ~~~ith .ill c~th~r requir~m~nh ~~f I~•,,:il r~~,i~lrnt c~C thi• Stat~. t i i f~I,~RTiif~R ('t=RTIFI' th.it ! h.t~r rtc, intc•nti~~?~ t~, r~•tur?~ t~~ n~~~ lorn~~•r d~~miril~. :mcf 1 intrnd tu nm:illl 111 ; ~ 5~1 r: - . : f~'jv~~~} •./%-f . . ('ount~ - ` F=lor,j,~`d: F1~csti1~~~,itt,l~_. r ~ f a c~ c~. f~t'c~ z: ~y~ ! ' j l . = ~ y / ` ' . ~ . ~,C,-~ , =%:L.~ .~~.c~c.~~,.z_ - ~ . ~ - ~x:,rrrr? ~ ~ ' v - ~ / , ) . L~: ~ ' ~ = f/.~ / . . 'J r. - A - . ~~Iri I3Z~- '~1 s.'C'`c'1.f1 a..-a j~ilL~?~ C'Gs s'Lt ~ ' , V 1:\.1Jrh..1 : ~ • • ti ~ ; i~~ t ~ + • ` SwUrA• jhYd't~lh~`~nb«1 h~~li~r~• n.: th~, ~ cl:~~ rt H f/ ~ 1+~t~~G`- -r~.~). ~~~J~ - ~ ~ / ~ \ui _ Publ~r titatr uf ! InnJa et 1 ar • ~1~- ('~mmi;.ic~n r~~,ir~, / ~ + I l~r hr ~•~r:ut~•J m.lnph.atr .u~d ~~n:u~.~l ~dr~1 ~~ilh l'Irr1, l'u.un ('nurl..~nd Ju~~h..~tr.~~Ih -i:~~ A~tic~~~ul ~ 2U9 0,,,~ ~~;7z ~ : . . ~ r ~ ~ ~ : -