HomeMy WebLinkAbout1969 •
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483518 ~ •
• ~b~LARATION OF DOMICILE
To the Clerk of the Circuit Court [County Comptroller] ST. L UGIE County, Florida.
'his is my declaration of domicile in tha State of , that I am filing
this day in accordance and in confonaity with. Section on a tatutes.
FOR DEAofICILIARIES OF THE STATE OF FLORIDA:
i hereb declare that I reside in and maintain a place of abode at ,
~,~r T
s ree an er
in ST. LUCIE County, Florida, which place abode I ~
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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 I intend to continue it permanently as such. I am, at the time f m n this declara-
tion~a bona fide resident of the tate f Florida residing at ,
s reet n er
, in County, Flori I former y resided at
_ ff_- ty ~
, i County, , and the
city 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.) L
i.
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signature ~
- 1 ~~'f~.. t r ~ ~--ter I.
J~ x.-.1`.1-.. j _
Sworn to and subscribed before me this ~'~:L._ day of , ~:~t~.M?G,~J
RO ER PO I TRAS, _ ,~°G IRGt~~,i~~EOURT
Notary Pu is State o F on a at Large. ST UC I E GOU 'sr,
v
My Commission expires B ' ~~PUTY CLERK
FOR DOMICILIARIES OF STATES OTHER THAN TAE STATE OF FLO DiA:
ere y ec are t at my omicile sin 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 of My place of
abode within the State of Florida, if any, is as follows: Here 1st 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 oz 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.)
483518
- 196Q APR 18 P~~ 12- t:6
f1LED 1?fNC RECunUi U
5 RO~~Gy./Ef.R
~~OYITRASpA~ ;
~Ml C~itCU1T CQ ~!l~ 3
FECO40 VERtF1iD_. - (t_..
signature '
sworn to and subscribed before me this day of A. D. 19
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'rotary P is State o F on a at Large. ~ j
'?y Commission expires
8t1<JK PdGE 1~l j 7 f
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