HomeMy WebLinkAbout0982 Declaration of Domiciie and Citizenshi
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TO TNE CLER F TH~ CIRGUIT COURT. .
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- ' ~ COUNTY. F1.ORIDA: ~
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This is m~ dccLratbn at Domktt~ aad Clthenship te tM Sul~ o~ llotida tktt t am tIll~t thi~ da~ tr acaordanee, and in
conformit~ w•iti~ S~ttjon 22Z.1T. Florida Statut~s.
I M~s (armerl a ktal r~sideat ot . ~ ~D ~ R ( C"~ ' - `A ~~^A ~~~d 1 .
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re sidcd at !~_S. ~ ~~L1J ~`t~~ - Ho~rever. I Aav~ tsau~ed my dorn4c~7e te ~
IStrNt ~sd Ntimb~t) =
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a nd am ~nd ?~ave bree a bon: Gde resident ol the State or Fbrida sioes N da~ ol
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Isw.t d N~.eri ~
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i . ~,V C ~ ~ I ~C ~ Couot~. Piorids.
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~~d this statcment I~ to ba ta]~cn u my declarttioo of dtiun~Alp. sct~;~~ t~ttidenc~ ~nd doenic~e in the Slate of F)orid~.
l± f~~~ t„e p~:r~~:>se er:rollin~
~hi Idrei~ in ~ubl ic ~cLxx~l, plta~e •
~t ate th~ir n~~~s :
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J F13RTf'.F.R CERTIf'Y t~at I ~viJ rrYister it m~ loc.al c,:drrss •ben tAe re~iatntion books reopea, and cerzply ~itA aU
other requirer~.ents vt a kp! reaident o! this Sute.
l FURTNFR CER'I'IFY that 1 l~av~ no inttntfon to roturn to lormer domic~t, a~d I ietend tn rem.in ie
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F:orida, pcrir.aneptl~.
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