Loading...
HomeMy WebLinkAbout4969 . Declaration of Domicite and Citizenship 24494'7 " ' ~ro ~rti~- s~,~~rt_ ,~~i~ c~c~uhT~~ ~~.~x nsst.ssoK. S~ Gvc~ ('OU1"fl'. f~LORIVA: Thi> i, m}• ~lrrlar:~tiun ~~1~ Uontirilr an~i ('iU~rnsh~~~ ~n th~ ~tat~~ ot Flonda ti~at f am iiiine ti~is u~y in ucror~tancr. an~i in ~unti~rmit)• ~vith S~rtion ,,,.17. Flurida Statut~s. 1 i:~rn~rrl~~ a l:~~al rz,i~i~nt c~f ~O ,O~-f~-~ -vr' - . - ;~nd l ~c•~~. ~ ~s~~~r~. r~.i~le•~1 .~t ~ ~J l~G~} ~ H Ec,t,~' ~T~ - _ _ _ _ . Howe~~cr, 1 have changrd my domicile to (Strrrt anJ ~iumArr) :uul am and hav~ h~•~n a huna tid~ r~si~f~nt ot~ th~ Statr oi f=lorida sinrc day oi l 7~! an~l I r~sidr at ~ 1 !A~ /7~_!'71!G _ - (Strrrt and NumArr) `~r _ /~Pc~ - . _ _ . _ . _ _ ('ounty Florida, E~ ? ,ind this,t.+i~rt~~r~[ i~ tu br t:~kcn as d~~l~ration o! ritizenship, actual irgal resid~ice anci domicilc t;te State c>t Florida. (lnur, hrrc ~n> prrhnrut fact+, surh as cJi uf pruprrt~ ur hu.mru, ur rc6nyuuhm~M uf rmployment at former Jumicilr. rcmwal uf famih tu nr~v dum~.itr, purchasr of humr..lc.i ~ / ~ CG.t-lLG6C " ; f ~ , ~ ~ 24494 ~ ; ~ fILED AMO RECORDED St. tUCIE COUNTY fLA, ~ ROCEn^ PO1Tp~S CLERK C~RC~~T COURT ~0~ RfCORp v~~;Fr~O~~ ~ ~ ~ 3v PH '73 - 1 1~l'R~TtiI~K C'f:RTli=1' that 1~~~ill rr~~i,tcr at ~n~ local a~idress ~+-hcn thc re~,istration books rcor~n. and ~um{~1~~ ~~-ith all c~th~r nc~!sir~m~nh ~?i~ a I~~_al r~•iclcnt of this Statr. I Fl?FtTNt=R ('I:RTIf=~' that t t~:~~~ r~c> int<t~iii>r~ tcs r~turn tu n~}~ forn~er dora~irile, and t intend to r~main in , . 1 ~C- _ _ , - - --!C..(hG~- . f , ~c-c-c-s.~- - . c'ow,ty. ~r~~. ? ~ I~Ic~riJ~. ~~rm~lnriitl~~. .,;•r;:;, - . , ,~~~t ~ ~ ' i' ` ^ ' '=-z'~`v?~ _ ~ ~ ~ : = al Salgad~'"'~' - - o r' ~ = • v ~ ~ r_- - - . ~ •-j ~ - ~ 1:\ddrr~~) !'~;~~iy,qrn.tu;~t~ii~uh~~rih«1 h~ti~r.~ mr [l~i.'~ cl.i~• c,f t: - r ` . _ :1.1). Iy73 - - - t • - i ~l ` ~ cY, lc-f_t~~L ~ \~rt~n ~ Ir ~.t 7nnJ~ at ! ~i~r _ r. ~tt' ('c~mmi,sion ~~{,irc, c.~~.__,.~.ti~ /S f~~ r~ ? ITu hr c[a•rulcd u~ ilupli..~t~ .~riil ~~r~e~ri.~l f~lr.l "~th l'IrrA l'~re~~it ('~~urL anJ ilu~l~~rt~ ~v~~h T~~ Assc~s~~r? 0~?09 ,~~i~ _ ~ _ _ ~ ~ . , 1 ~ ~ : ~.t