HomeMy WebLinkAbout2443 N~
A 83814
; nb~LARATION OF DOMICILE
To the Clerk of the Circuit Court [County Comptroller] ST. L UGIE County, Florida.
This is my declaration of domicile in the State of ~ , that I am filing
this day in accordance and in confonaity with Section , or a tatutes.
FOR DE~ICILIARIES OF THE STATE OF FLORIDA:
~.-e ,
z hereby declare that I reside in and maintain a place of abode at ~1?~ ,
~ s ree an er
f'~ GL~ . in County, Florida, which place of abode.I
city
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 t' of in thi$.declara-
tion, a bona fide resident of the State of Florida residing at
~ --street an nu e
1~ in County, Florida.. I formerly resid at
city ~ ~
,~j~ - County, , and the.
city state
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.)
_ _ _ _ 483814_ f
. 1980 APR 21 P!i ~ 24
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~ _ FI~L~ED~REND RECUkpt D
_ STROGER
OITRASI~ ?
~
`y, ~ :
~ ` .i ELf1tK CIRCUIT COURT ~
:j _ ~ RCEORO VfNfFtEO_-.~--~ ' ~ ~ ~ _
4`'':- _ - F ~ signature i
Y~lt`
/Z~Ah 9 v eRiTe W~ SoN
Sworn to and subscribed before me this ~l day of ~ L A. D. 19 SU
ROGER PO I TRA S, CLERK G I RGU I T COURT
ST. LUC I E COUNTY, FLORIDA
~ tvotary Pu is State o F on a at Large.
~ My Commission expires BY-~ ~c~eh~~ DEPUTY CLERK
I
FOR DOMICILIARIES OF STATES OTHER THAN THE STATE OF FLORIDA:
ere y ec are t at my omicile is in the State of and that I intend
i 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 ist street address, city,
and county of place of abode in Florida.) ,
e
(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.)
[
signature
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sworn to and subscribed before me this day of , A. D. 19
notary Pu is State o F on a at Large. _
~1y Commission expires
i
g(»~329 ~~GE2441 .