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HomeMy WebLinkAbout4749 Declaration of Domicile and Citizenship "CU THk: STATt. A~i~ c~~ut~1~~~ 1~:~~ nsst ss~K. ''~447'82 .C t/ ~ /.C C'UUhTY. 1~ LOKI!)A: 'tl?i, i, m~~ ~i«lar.~tic?n c~t~ Uonurilr ana ('itii~nshiE~ in ih~ Statr ot t=lorida that 1 am liling this day in a~conl:~?~~~, un~! in runiurmit~ ~vith Scrti~~n ",.17, f=lori~i:i Statut~s. I was ionnrrly a Ic~~al resi~l~nt oi I~~ok~ y.~/ _ and 1 - . - - cc~~,? ~s~~ir, rr,idra at ~ C~E/Q U C~ . Howc~•rr. 1 h.+vc change~! my domirile to ~titrrrt anJ Numbrrl an~l am and havr b~~ ii a bona tidc• rc•.i~1~ nt c~! thr Statr ~t }~larid.~ since - day ot .~L~C ~M/3,C~ . 1 ~ aii~l 1 r~s~ci~ :it ~ 7 . ~ l _ -Cf~Eis~i~' ~ - S~ - (Strcet and Numbrrl ~ T _ ~'i~CF ~P%. S% v !'~~E_~ , - - , - - U ! Coimty. Florida. ~c ~ and this st:~t~m~nt is to be tak~n as m~~ ~fcrl.~ratian of ~itiz~nshi{~, artual lrgat residence and domicile in the State ut Flori~~. (lnarh hrrr ~n> prrUnrnt f~cts. w.b a. ~!r c~f ~~r~~prrt> .ir husinr~s. .~r rrlinyuishmeM uf rmplo~ment at formrt dumicilr, rrmu~~l ~~f famity tu nra d~~mi.~l., pur.hacr uf A~~mr, rtc.1 -V> t ~ ~ ~ C--~'C`C~ Gc--~CG.~Z/GC>> / , G2t~=CG~1l- • L~ ST LYCIE C~UM~Y . R06ER P~1tTRAT CIERK CI~CUIT Catill'~n,y1G~ RECORD i/ER+F1E0..`.~,~f,;~ J+w 1 4 is PM'73 2<~:~ ~ I 1=URTHt:R Ct:RTlf=l' tl~.it 1~~-ill r<<~i.t~r at m~~ Ic~ral a~1dr~~,s ~~~h~n th~ rc~~i~tr:~iic~n hooks no~,rn. and ~ ; ~~m}~ly ~vith all c~thcr r~yuircmtnts rt a I<<~al r~~i~~nt c~t~ this Stat~. ~ l~~URTHt=,R (~k=RTIE=Y th:+t 1 ha~~• n~~ ini~nti~~t~ tc~ rrturn tc~ m~ furmrr ~ic~micit~. and I ini~nd tc~ r~•main in : ^ - ; Si~ c S'i . ~c' _ . ('ou?1t)~. Flori~la. p~rntan~ntl~. "r~?•' ' />'n-~riq ~ 66a . %r ~ ~ • • ' ~ ~ • L ~ = ' < <'C c ~«~~a~~'`~" ~ ~ ? • - ~~'~•~~~/~~M~~~.'~~~ ~ '~JmC' ~ ~ ~ ...r' ~'~:~c~''10T'AR)' = l~~ /Y ~ /`fL-"~i€~ S/~ ::sr Y ; ' IAdilrc>si ; " G : = p : ' ~ = .~o~oru ~d and si~~Y~h<<I hrli~r~ mr thi. ~ ~l.~t~ nt ~F - , c ~dCay~~.~c ~r.-~ . -1. 1 ~1 f ~ ~ ~ / ~ ` ~i ~~l G=yv,`C-~~ ~an' 1' I~c tit.~~r ~~t { I~~nJa at 1 arcr / ~ ~ &oaK 209 r~~~ 1 i ~2 ' ~i>~ ('ommissiun c~~~ir~; ~ - l~ < ~ 1 i~~ hr ~•ic•cu!rd in Ju~~hr:~ta• :~nd .~r~sin.~l fdrd ~~~Ih ~'Irrl. ('~n urt ('~rurL end Juph.atr ~~ith Ta~ Ac~res~~r)