HomeMy WebLinkAbout2544 '
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- , . ST. LUC
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,~.L . ~'l. `~~C~F,r, yUNTY. FIA.
~~~~30
'T0 May 2 7 p~ ~ 8
STATE OF Flnrida ~
COUNTY OF Dade ~;i,i':;_;} , ,T ~O°'~~'1'~"
ClER1( i u' , A~S
~~RCUrt COURT'
ROMAN MAGER personally appeared before
me, the undersigned authority, and after first being duly
sworn the affiant says under oath that (he)(she) is a bona
fide resident of the State of Florida and that (he)(she) `
resides in and maintains a permanent place of residence and
domicile in the City of Fort St. Lucie , County of
St_ Lucie . State of Florida, which said affiant
recognizes and intends to maintain (his)(her) permanent and
principal place of residence, domicile and home.
The affiant further says that (he)(she) maintains
places of business or abode in states otlier than Florida at
Lake Ho~,tco~g, New Jersey and
and that (he)(she) formerly
resided in another state at I,ake Ho a~
tcon~. New Jersev
. The former residence or domicile
of the affiant is hereby revoked and the other places described
~ herein owned or temporarily occupied by the affiant in states
;
~ other than Florida are not permanent places of abode, domicile
~
E or residence for the affiant who intends that Florida be (his)
~ (her) predominant and principal plac me,domicile ~
~
~ residence.
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Sworn to and subscribed before me this 26th
day of MaX , A. D, 9 p.
' ~ ~ '
~ ~ - ~ ~ Notary P i
y r State of ~ rida at Large.
~ ~ . - ' r~ . : My Commis ion expires
~ ~ - • - M~AR~ ~A1E ~i fLMM Ri W1e i
~ YY COMMai~ EXPIRE3 YAR 197a
~ . NM~i! Tl~11 F~! ~ N~
k
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~ For use under Section 222.17(2), Florida Statutes.
y Affirming Residence in Florida and denying residence in state of
former residence and in states where other houses or businesses
~ located.
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R
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~ (5/27/69)
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BooK1~4 P~~E2541
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