HomeMy WebLinkAbout2667 UCt+ld1 .,tlZVlt Vl tJl~llil~.iit= Acs.: `•:~~~..~.??.~???N
- ~4S"7433 - ~ ~ ,
>PO TIIE Q~RK OF TSE CIitCUIT OOURT.
S~~ LUG 1 E OovrrrY. FiARIDA:
_
'This is ~ dec]arstioa os Dotaicik and GYtiyeas6ip is the Stste oI ><7orida that I aa~ flint this dq io•aoootdanee. aad Ia -
- _ coniormit~ witb Section ?Z~:.17. Florida Statutes. _
I was i~ a legal resident d _ ' - ~ aadI
t t~l
resided at Aowevet.I bave eLanged ~ domiefie to
ISt...taed aa~ba~ -
-and amend have been a bona fide reaideat oithe States adF9orida since ~ ~ daT d
19 / / - and I 'de at
- ~ t aadNambatl
~ ST. lUG 1 E ~;d,, _
tc~,l
and this statement is to be tal~en ><s m7 declaration of citizenship. actual legal residence and domu3~e in the State of ):7orida.
IF FOR THE PURPOSE OP ENROLLING IF FOR HOMESTEAD PURPOSES
CNIIOREN IN SGHOOt.s-PIEASE STATE PLEASE CHECK:
THEIR NAMES:
s
- 1919SEP-6 F~12~;3
FFrr.ED Rrro Rc:c~sf~p
fT. UClECOUNTY.FtA.
- CI.ERK~IRCUIT
C AST
R[CORii VERIFfEO
~ - ~ 457433 -
P
I F`tTItTSEfi G~:HTII~'Y that I wgl register at mT local address when the registration books tsopea. and oomplT with all
other regQirements of a legal resided cd this State.
I l:'iJRTI~ (~EtTIfR that I have no intention to return to m7 former domict~e. and I intend to remain in
T. U C I E , Count.
_ - tG~j) _
Florida. permanent);.
_Q
c~! COUNiY . F~,O
Swars t+o and sebsaibed before tae this ~ da,F of
~.1~_~79 = ~
_ -
R K`D!''CIRGUIT GOt~2T
ST, L17G1 E GOIJNTY; 'fLL~t)QI1 - -
• EPUTY LERK ~ -