HomeMy WebLinkAbout0109 ' ' i nd Citizenshi ~
Deciarat~on of Domic !e ~ p .
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TO TliE CI.~AK OF THE CIItCUIT COURT. ~
COUIVTY. FI.ORIDA:
This u my declaration ot Domicik t~ad Citisenship in the State of Flocida tl~at I am t~ag thL dq? in accordaaee, and in
eontormity ~?ith Section 222.17, Florid~ Statutes.
~ 1~u tormerly s kgal ~esideac o[. ~~~G ~ - • ~ and i
Ic~t~1 18tat~)
r+esidcd at ~~o D - Howrever. I have cAanged my doaricile to
18tewt a~d N~m~l
and ~m and have been a bonn tide resideat ot the 3tate of Flodda sinee ~7 ~
~iD~~ .19~aad I nside at ~ l l 9 ~.t.til~xL.v ~~r
(&rNt asd Noa~r)
~~~~.l,P~-~`-C_:. - Connt~. Florida. ~
Ipt71
and thu statement is to be taken as m~ declantioa ot citiuaship. tettul kgal r~idenee and domia'le in the State ot F{orida.
c.,._~p r.r» aECOROED
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'79 FE3 27 PM ~2 : ~ i ~
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I I FUftTNER CERTIFY that I will regiater at my local addresa wheo the regiatration books reopen. and comply ~rith all
i other requiremen~~ ot a legal resident ot this State. _
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~ I FURTHER CERTIFY that I have ao intention to retura to my former domicile. aad I intend to remaia in
i • . - County.
g ICicy) .
~ Florida. permanently.
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Sworn to and sub~cribed betore me this ~ l.,C rG e_ i
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. A.D.19~L `
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~ N Pubik State ot Florid~ at Larp
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~ My Commisaion expire~ res ay ,~79
~~n~N y R~~r~ lewrance C~.
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