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A 3;344.
nb~LARATION OF DOMICILE
To the Clerk of the Circuit Court [County Comptroller) ST. L UCIE County, Florida.
This is my declaration of domicile in the State of ~~j~~^ _ , that I am filing
this day in accordance and in conformity with Section ~:I~~lori3a Statutes. '
FOR DESI~ICILIARIES OF TAE STATE OF FLORIDA: ~ -
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1.~-h~elreby declare that I reside in and maintain a place of abode at6~~l,J• ~Sf ,L~/~~~ ,af
~ ~
)`'l • ~(/C/e in ST, LUC 1 E County, Florida, whichrplace ofnabode I ,
c y .
recognize and intend to maintain as my permanent home and, if I maintain another place-or
places of abode in some other state or states, I, hereby declare that my above-described
residence and abode in the State of Florida constitutes my predominant and principal home,
and Z intend to continue it penaanently as such. I am, at the time of makin t}~is declara-
tion, a bona fide resident of the State of Florida residing at ..Sw• ti~it 8
,-?i ~S1 /~~e / ~ street an n r '
7`J= T L , in - ~CU~/e County, Florida. I formerly resided at
city n ~
rJ _ U C.. ~ ~O n County, and the
c y state
place or places where I maintain another or other place or places of abode are as follows:
(Here list street address, city, county and state of any other place or places of abode.)
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~ ,ate C~ /9 ~y ' _
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• / signature ~
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Sworn to and subscribed before me this ~ day of , A. D. 19 O '
i
ROGER P01 TRp S, CLERK CIRCUIT GQURT
ST. LUG 1 E COUNTY, FLOR I OA
Notary Pub is State o F on a at Large.
My Commission expires BY ~-?~~-e~ DEPUTY C L E R K
FOR DOMICILIARIES OF STATES OTHER THAN TAE STATE OF FLORIDA:
ere y ec are t at my amicile is in the State of and that I intend.
to permanently continue and maintain my domicile in suc state. At t e time of making this
declaration I am a bona fide resident of the State o£ My place of
abode within the State of Florida, if .any, is as follows: Here ist street address, city,
and county of place of abode in Florida.)
(person making declaration may also include such other and further facts with reference to
any acts done or performed by such person which such person desires or intends not to be
construed as evidencing any intention to establish his domicile within the State of Florida.)
4 3;3441 .
- 1960 AP{t i 7 PM 29
FILED AND N~CQRU} D "
SLtUC1E COiINTY.FIA.
AD&ER POtTRAS
' JERK CtRCWT COtiRT
- tNE~ t'CRIf tEt! .
signature '
Sworn to and subscribed before me this day of , A. D. 19
notary P 1C State o F on a at Large.
qty Commission expires
BroK PaGE 1~~5
.