HomeMy WebLinkAbout2681 YVit~vi ~ /
Declaration of Domicile end Citizenship
q+p THB CLERK OF THT CIRCUIT COURT.
S~, L ~ oovhrl~r, FI~oRInk
Thin is aqr deelaratioa of Doaakile aad Ckiseoship m tM 8tate eI Fbrida that I am tilinj thin dy L aaordasa. and is
eaatarmity with Seetioa 222.1?. I~'brida 8tatutN. L
I was faemtrb a ~ reddest of l..J ~ ~ ~ ~°~-l n S ? V Q W Yo r F and I
/ 1 1Gy1 tet~l
»dded at ~ t / ~a v ~ S T • - Hdwawr. I have ehassed a~ domiel~e to
ltttst aai Nr•trwf
and am and haw bees a bona tide silent of the state d Florida eiuoe T'o yr fl. dq d
lUo v ~ b e r _ andlrasidsat 7~ ~ .S. I ~ 4 S -
tetr••taadN..~.ri
Ff ~ P~ e r~ ~ _ , ~ „ ~ ~ ~ cotoq. Fleriaa.
laa)
asd this etatemept is to b. taken a, aq aeeiaration a< eitiseaehip. octal ~ siaesa. and aemidl. io at. 3W+e et Floeid..
~iLED ;.~.D RECORDED`
~~.1C~ C~Ul:TY, FLA.
c +
~4~~~~
. '79 19 AM ILA : i 2
• f
I i''t1RTHER CERTII'Y that I wi11 register at my bcai address when the registration books i+so~pen. and comply with all
other regninmenb of a kgal rdideat of this State.
I FURTHER TIFY that I have no intention to return to my t~a~r domiet7e. and I mend to remain is
lc i Q r ~ S -F . L ~ ; _ qty,
I~ lac,)
! Florida. permanently. j
I
s
a
s
i
a t Mom
•
a / l )
~G!/Y/G ~ ~C' ~ c 1/oTT"~
l (Adds.)
Sworn to and subsen'bed before the t ` day of
3 ^ ~
/ /
~ ~ Notary P~iC8ta~i"•o~'a~by~v' ' .
~ Commission es Iree.• ` '~`Y ~ j
y ' ,r,~~~~~' ~ 800!(1 FAGS~riJ (V
llotsry tn6Kt, Ststa'oid+ st lsrgt
fty taaairssne Espires Sep!. S3. 1;E2 ' -
¢ M.k~ M A.~eri.w rw a (,.aa.+. Cc.K..Y ` ~ . • • .
_ i
G -Y'-~ z 2 4 ~ _
. ter,
i 3,
~E.
.-..a_ Vim. ~ _