HomeMy WebLinkAbout2406 Q ~+~~~V
. ; ~b~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('~~C~ , that I am filing
this day in accordance and in conformity with Section F ori'cT$tatutes.
FOR DES1gICILIARIES OF THE STATE OF FLORIDA:
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I hereby declare that I reside in and maintain a place of abode at "1~ ~ IV ~ d .
_ -Ts ree an n er '
~ . Q , in ~ ST. LUC I E County, Florida, which place of 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~haae,
and I intend to continue it permanently as such. I am, at the p~ f m ki this ec ra-
tion, a bona fide resident of the State of Florida residing at U
street an n r
t ~~QJ\_~ in # ,l ~ I ~ County, Florida. I formerly resided at
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and the
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place or places where I iaintain 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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COUN~r
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Sworn to and subscribed before me this oZ ~ day of , A. D. 19 D
ROGER P01 TRAS, CLERK G IRGU I T GOURT
ST. LUCIE G UNTY, FLORIDA
*~otary Pu is State o F on a at Large.
My Commission expires 8Y ~ DEPUTY GLERK
FOR DOMICILIARIES OF STATES OTHER THAN THE STATE OF FLORIDA:
~ ere y ec are t at my omic le is n the State of ca a 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 ~ CS My place of
abode within the State of Florida, if any, is as follows: Here lis~'-t 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 a''nry~pinLtention to establish his domicile within the State of Florida.)
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f9~ APR 21 PIS ~ I S
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POITRAS
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signature
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7worn to and subscribed before me this d ~ day of `~Jl ~ I , A. D. 19~.
':atary Pub is State o For a at Large. ~ _
'?y Commission expires
~~x329 ~~~E2404
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