HomeMy WebLinkAbout0209 ~ ~
4842'71
• ;'~bb''~LARATION OF DOMICILE
To the Clerk of the Circuit Court [County Comptroller] ST. LUGIE County, Florida.
This is my declaration of domicile in the State of ~ ~ , that I am filing -
this day in accordance and i~n conformity with. Section '~'~'~:I , or a tatutes.
" ~ r
FOR DESRICILIARIES OF THE SATE OFrFLORIDA: ~ /r~
I hereby b~declare that I reside in and maintain a place of abode at ~ O ' _ .
O'-.t.~Jt/ which place ofnabode I
in ST_ LUC 1 E County, Florida,
c y
recognise and intend to maintain as my permanent haae 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 of making this declara-
tion, a bona fide resident of the State of Florida residing at 11711 ~X' . .
, ~ stree an n er
C~ in County, Florida. I formerly resided at
c ty
~a.. , o~~ t./l ~tiy-Q,,ti County, - I_.i , and the
c t sae - ;
place or'plttLes where I iaaintafn 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.)
i
/~~n
. s qna ure s
Sworn to and subscribed before me this day of ~ , A. D. 19~.
i~t n . p tt
e~ January 3 l ~~d~ ROGER P01 TRA S, CLERK G) RGU I T GOURT
~ ~y ST. LUGIE COUNTY FLORIDA ~
Q ~
Not ` ~-,tat o F on a at Large.
~I Myi ~ •,'lcpires ~~r~~;rp; I~~„s~y 3: 15t±a B Y DEPUTY G L E R K
F~>~~ L AF STATES OTHBR THAN THE STATE OF FLORIDiA
e t my mru.c e s n the State of and- that I intend
~ t` f 'L>litinue and maintain my domicile in suc state. At a time of making this
` ~!w ~q>Rt ,a bona fide resident of the State of My place of
~ ~ ~~State of Florida, if any, is as follows: ere ist street address, city,
and }lace of abode in Florida.) -
~ YItA
tPerson 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
M construed as evidencing any intention to establish his domicile within the State of Florida.)
484,2'73.
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~ 190 APR 24 AK ~ 34 _
7
ST
lUC1E C,Q~NTY A.
E RpgER ITRAS
CLERK CIRCUIT
C~~~
act:aRa~'t.RtflFft_.. ,
signature
~ s
sworn to and subscribed before me this ~ day of , A. D. 19~ ~
*~otar P c,,, ~,glor a at Large.
My Commissigtt~ d s ~
~
n`' . ~ J` ' ~ _ ~ ~ piiCS lanuan 3: 19$~
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