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Before mo~ the undersigned authoritq~ this
day personally appeared~ ~
who being fitst duly sworn~ under oath desposes and
says that affiant residea in aml maintains a place of
abode in the City of ~ t rt t County
of Sl~ ~~t G!~t~__,,.~,.~ 3tate of Fiorida~ which
he recognizes and inten~ds to maintain as his permanent
home; uffiant declares that he also maintains a resi-
.
donco at l~ s,+ i~. i?C~, e C~s• ~~,T ; d J 4'~~'~- ~
and that he formerly ~esided at V~ i+
i~
.,,=r
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/~-w~+~ ? r ~ but chat his abode in
Florida constitutes hig predaminant and principal hane~
and affiant intends to continue it permanently as such;
affiant further declares that he ie an actual bona fide
and legal resident of the 3tate of Florida~ and the
filing of this affidavit is to be accepted by all persons
, or any court as proof of such legal residence and per-
~ manent domicile.
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~j Sworn to and subscribed before me this ~
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- .
. ' day of 4. .r. A• D. 19 .
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FIL~D ANO RECORBOOK ~~~~l.~~l~-~ a~'sj-
. • Flori.da at large,ate
10: 12
'ss ~ ~ ~ ~ , ?~y Cow..~ission expiress
1434~~
Rp~Efi POIi ~~?S. CLERK '
~ ST. LUCIE COUN7Y.
FLORIDA
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For use under Section 222.1?(2) Florida Statutes.
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gooK 140 . 25g
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