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HomeMy WebLinkAbout0363 ~ { ~.i • • • Dec~arat~on of Dom~c~ie end C~tizer~ship t . ~ 4806'9 t To~cz.Exlc oFTi~ECIRC'UITOOUAT. S' 1" ~~JG/E oovnrrx. FLOitIDA: This is my declaration of Domidk and Citisenabip is tbs State of Florida that i am tiling this day ie aooo~+daace. and is ooafonaity with Section 222.17. Florida &atutes. _ I was tocaaery a legal resident ot• L' ~ V ~~r0 d ~ ~ _ +ad 1 ICtyl ~ ISwd resided at ~t~ ~ A!~ /y~l-' ~ :.~1~ _ Harerae. l bave ebangsd eay domieIM to 18tswt a~ rl..~e.rt and am and haw been a bow tide resident of the State of >!'beida siaos ~ .T __~~6.di.~ day d ~ ~ ,18.x, aadI reside at 2 C ? ~ifl.~, ,~~'U~so,y ~ r G~ Poser sr, ~ s~ ~ ii iF'~' ceuaaty. Florida. tp4i - aad this statement is to bs taken as trey declaration of citheaship. actual legal t+aideace sad dowieile Ia tbs 8tats of Florida. ~ F . A~ - - I FUIiTHEB CERTIFY that I rvlll register at my local address when the registration books reopen, sad comply with aD other requirements of a icgal resident of this State. I F'Lf~TOK / - .3 tL UG w ~~ntion to return to my for~~on~icde. sad I intend to remain in E' j - L U G ~ ~ _ County. llxcy) Florida, permanently. i . ~ ~ m2 S INS. ~ ~ z ~-.,13X'Uw.raiv c r, RO~rsr. [ycf~~F~.r, ~ (canc..., Sworn to and subscribed before me this Z D ~ day of . - c~S ~ ,~.~yA%~'~~~i:s;~j rjalatj PYslie SLRti Fl~xida ~t Vljf ,a ~ t~ ti e .i~ ,~s NOTARY PUBLIC STATE Of flOR1011 AT LARGE ~~~irly Comnihts7on'4;cpirea . ~tX~LIMlILS~ c:PARES ocTOBEg 1. t9~3 ; k r. Y'; . _ IItSIIREO YY FIRST FINANCIAL ADVISORS y~ ACO Fnrm ; t