HomeMy WebLinkAbout1897 ,
Declaratian of Damicile and Citiz~nship
T~ TH~ STA AN!) COUNTY TAX ASSk.SSOR, ~~vVBQ
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_ _ COUtiTY, FLORIDA: ~
'il~is is my dcclaration of Domicile and Citi~enship in thr State of Fiorida that 1 am filing this day in ~
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accordai~cr, and in conl'orniity with Scrtion "'.1 Florida Statutes. '
! was fornterly l~ral residcnt of P ~ ~ , and 1
2 lCityl ~ tate)
resided at -~I _-~~'1~'?~'-'l -~'--~~d
b 9 . Howev~r, t have changed my domicile to
(strert anJ nt~mecr)
and am and have b~:~~n a bona fide resident of the State of Ftorida since ~"L_____~~-_~ day of
- l~)_ anci 1 mside at -
~ (Slreet and Numbet)
- ~~-__~1~'~ _--3 . ~ County, Florida;
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and this statement is to be taken as my declar.+tion of citizenship, actual legal residence and domicile in the State
of Florida.
(lnsrr? hrrr any pertinrM facts, such as salr uf properly or businrss, or relinyuishment of rmptoymrnt at former
domicilt, remoral .~t family to nrw domicile, purcAau of homr, rtc.)
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t FURTHER CERTIFY ti~at 1 ~vil1 register :~t my local address when the registration books reopen, and
comply with all other rcquirements of a lega) resid~nt of ihis State.
I FURTHER CERTIFY that I have no intention to rrturn to my for:ner domicile, and 1 intend to remain in
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Florida. Pernianently. ~c-~r•
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~:~wo~~l.tcr rtd ~2S ed before me this l(~ _ day of
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. - ' . A_D. 19_~~
ROGfR POI~S~ Cler~ - _ i
e
~ 3~OK2~.1 P~tif1895
.
(To be c~ecuted in plic..~e an unKinat fiird N ('lerk Circu~t Court. ~rtd duplicate Nith Tax Assessor)
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