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HomeMy WebLinkAbout0552 l / Y DeGlaration of Domicile and Citizenship i3~ ~ ,'~r~~~ 1'v TNE CI.ERK OF TNE CIRCUIT ('Ol'RT, ..~'.T.' a ~••.5~~_~~___` _ GOUNTY. FLOKIUA: Tha is mr declantioe~ d IZonuciM aud Ctt~uasA~p ?n tAe State ot Flonda tbat 1 sta fikn~ tAu day ~n ~eeor~danee. ud ia c~oeform~tY witA Ssetiou 222.17. Fbr~da 3tatutes. Iwastornxrlra~n~deocad ~+~rth Win~ha~n ::c-nnecticut ~i , rur ~ i s~w? rn aded at 'S~~ 'Q ~~.yi:' ~ a Q- i ti A~ `e 1 manL = C- u` t-~lowrev~r. I Aave cAaa~ed my dotzucik to ~~tr~w ~ N~~1 and am aad have beee a boea fide resdent c( tAe State ot Flo~da unee ~IId dar d - ~ ~ - . 1 ~ ~ . and ! res~d~ u i 7 el ; Q;:S t I~~wt ~ N~M?! ~ c r* t_ ~t~ ~ ~e t. ucy ie CouAtr. Fio~d~. and tAu statrment is w ~e tal[en u mY declarat~o~a ot e~tuensh~p, attwl le~~l res~ate aad domicile w tM 3tate d Flo~da_ ~ i~i~U z4, •t~~~~EO ft t UL - C~UMT1 il~ G~,~., i,~ .a~; . F; j.~^? ~OIIqj ~;1~ 1 ...~~~L ~ ~ ~uc 16 IZ ~s PM'1b - 1 t'i'RTIiE~t Ct:RTIF'y' tAat I wtli rr~~ter at my ?ocal addMSS wAen thr r~e~tratan books reopea. and co~nply .r~tR a!1 oe ttier rrqu~rement~ o( a kRal rrs~drnt ot tht~ >tatr ' 1 Fl'RTHE:~t t'E;RTIE'1' that I Aav~ no int~nuon ta roturn to mr (ornwt damatk, and I~ntend w remain ~n , . . _ _ _ _ _ . ._a~ _ _ ~w:. :-f3F}i6- ' • i_~a.; . CountT. ~t'n~~ FIor~Ja. {~e~rminrntir ~ ~az~~' ~1~ ~ ; _ - - - ~ ;tiawi ~f3:'CT T . T~=~'UL~a =i~ '--a-s._41.'Sc. _'..s a_ . ~ ~S ~ ~ ~ - ~ . ~ ~ ~Abdrsrl , ~+•~rn t~, ind subscnbed be(urr mr th~s • Asv o! . _ . A.U 19~` : -.--r--- - _ - - _ - • ; : 13t4 d !'Iri~. ac t.?t+ ~ Q ~ c^ ~ Q C,:a,ena~+e~s.~ ~ 1 _7l . ~ ~ . , ~~.V V Mt+t ~I'~7 ~`~-•..,.,..S~~~v ~ - . +T~ f+..arruteE u~ dvpl~tatt u?A onrnL lil~d rttl~ (~{tfi !'irruR ~ ourt aud Qvpi~r~l~ ~Kh Z~a AaM~~I ' Al:1t {...m'i ~ i ~ ' ` _ ~ _ -