HomeMy WebLinkAbout0832 1Q~dlf#6 ~
~GCLAIiA'PION OP U6hi]CILE
h"L
TO 2'lIG C4ERK Ol~• CZRCULT COtiRT ~_ut~^ ~COUNTY, FLORIDA.
Yhia ie my ueclaration oF bomicile in the S~aCe oF ~j~_ ~
Chat I am filing thia day in accordaoce and in aonfasta t,w~t 9eot on
222.17, Ylorida 6tatuYos. ' ' .
l~Ol2 bOM1CIL1AI2Iln5 ON 4'fI6 5'P1fTG OF FLORIDA:
I hexeby declare hat ~i reside ia and maintain a glaae of abode at .
I('_1~r, <~-Ti~25 l~r . ~1.,.,~, r+~ Sn
(st eet
an`d~eiwnbesy ' , ~ # ~ .
hW~/~4`~&'S!~!!~fe2 Couofiy aloridat wh~cb placa o~ adade I
recognise 'and Spte~t~to ma.t~taia ae say (sesm~ppenfi hWa4 apd.. .i£ I
maintain anotl~er~pLace or plaaes of tth~da ih sqme okii@r ala~e or
stal•es, I I~ereby~dea3are that my abowe descLibeil'reaide~ .and ahode
in the state of gior.fda conatitutea my ,predqmiaanC and grinci,pc`. hame,
and I inCeud to continue iL• perniapenhlp as euch, I am, at tiie time
of making ii~is declaralipn, a EidY~
reatdent of klte 8tafie of
Florida resdding at ~(~y. rj'_~,S A?3' ~
(atreet aad nwa68r) ~
~~'~_r~_ , in (_t,tCi~ Countp, Florida.
I I~ave,~'~sided !erel since ~}11~~ ~~y I Po~
„*y resided ~
at 4"a~M,~ ~ Y+
(Cxty)
~1~~GLG_~- . and tUe place or placea whera I
(State .
maintain another or other piace or places of~abade are as £ollovrs:
(iiere list street address, City, Count,~r and SCate o~' anq o'the.ti~~place
or places oL abo~e.~ ~ ,,,,.~~~an~g
~....P ~ r~~t .
I'w~. . .v.- . _ . iLl:_~U' , ~Q
~ ~,_.~c~e~.,tci ~ ~ Fa~ed~~~ ~~nda4;
R4
in. ..-.---_..,y DQUGLASDt~(DN Cl.r
Taatf ~ti n. Si.lUC1E COUISIY.~:
~ ~~'aYKG2~_ ~Gk~~~ -
. ~ iG~'i•Ultfi Si ~ , -
~ ~n _ YM „r~,~~~cCr~~
'(1LGAS6 PRtNT NAN6) PESA ~ +
i = a~ s~.~~.e..-arJ iqy
~
Sworn to and aubscxibed baFore me tkiis_~p,dap ~o ' .~r,
A.P. 19~_. ~ ~ ~ ~r 1n~Q
. ~ - . ~ ~~_t~~ lS~a,~~~
(sSAG) ~ w~
(NO'fA EU&GIG~ ~%e`~ ~4-~` r ,
MY Co is8ion fixpire6 ~ktrrn4~{k erm ar ttaw,~ `~•t'~ 6 -
~
w°°°~°`air*u;r'~a
d~90 ~ A ..xe:n .
E'OR DOF1ICILZARIE3 OF STATSS~~~ tlTliBR 1'HAEt TNS &TATS OP PLdRIDAi ~
i Lereby declare tliat my dwn3a11+§ is in 'tke St~tte of
und that I i~tend to permaae~tlp aonti+nti6 epd .tliniA tt in$ WK le ~h i0uch '
state. At the t3me o~ making kh~~s~deciar~'tibn I,m~f a~¢rya ~3.irX9~~s~k1~Yt" :
oE the Btate of ~ . Ny place of~8bir8e N~.kYYih ~tle ~
Sl•ate of Florida, E any, is as iullow+s: (Here liet s#reeY 8~ici~~~', City,
and County of plece o# abade in Flor3da.) ~
(Peraon mak3ng declaration may alao inrluda such othet and furthex £aoke ~
wi:L•h reEerehce to nny acta done or parfEoxmaO by sunh,gssY~on ,vhYah sdeN', ~ „
pereon deaires or intends not to Ue coi~stxued as av,~&enoYng any inta'nti3ch
to eatabliah hia domtcile ~hin the Sitate of FSbride.) ,
r' ,
5 gnature & gna ure
Sworn to enc3 eubscribed beEoxe me this 8ey o8 ~ • `•,~E~
19 . ' . a t' ~!y'. ~g~,W~~~'~Y~' i+~~p~ YY ~4~Y~+6:~,;,p'+,
~ ; ~ n 4 1
Notary Pu 1 0, "x,~
M.+
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