HomeMy WebLinkAbout1112 • ~
.
4~8;~ ,
' • ~}b$~L7IRATI0DI OF DOMICILS
i
To the Clerk of the Circuit Court [County Comptroller) ST. IUCIE County, Florida. t
This is uy declaration of domicile in the Stata of ~ ~~~Q. , that I as filing
this day in accordance and in confosmity with Section ,-'~~iaa
Statutes. ~
_
FOR D~4IICILIARIES OF THB STATB OF FLORIDA:
I hereby de lace that I reside in and maintain a place of abode at 3irp ~j2A~riA~c~ .S/~
s s ree an n erT
011- , in ST. LUG 1 E County, Florida, which place of abode I !
c y
recognise and intend to maintain as my permanent home and, if I maintain another place•or
places of abode in soae other state or states, i hereby declare that mY above-described
residence and abode in the State of Florida constitutes my predominant and principal home,
and Z intend to continue it permanently as such. I am, at the tine f making is declara-
tion, a bona fide resident of the State of Florida residing at 3.$'S' Q~~ ,
~ ~1 ~ Q street an n r 4
0 1~'2._c_Vl in ~CyuAM h (V~~~ County, Florida. I formerly resided at
`J IU ~l f `l r ~ OCR County, _ li(J/ S ~ .and the
ctyT sae -
place or places Where I maintain another or other place or places of abode areas follows: ~
{Here list street address, city, county and state of any other place or places of abode.)
_ ~~GOUI~jT~
?c'E~'c~~trr.~F='~ s qna ure
-a.,~ ~OL K . ..~o ~ilVsa/t/
Sworn to and subscribed before me this day of , D. 19
•
ROGER POI 7RA S, GL ERK C 1 RCU 1 T COURT
ST LUC I E COUNTY, FLORIDA
Notary is State o F on a at Large.
My Commission expires BY DEPUTY CLERK
FOR DO!lICILIARIES OF STATES OTBBR THAN THE STATB OF FLORIDh:
er y ec are t my aeonic e s the State of and that I intend .
to permanently continue and maintain my domicile in suc state. t e time of making this
declaration I am a bona fide resident of the State of ~liy place of
abode within the State of Florida, if any, is as follows: ere st street address, city,
and county of place of abode in Florida.)
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
construed as evidencing any intention to establish his domicile within the State of Florida.)
48482.5
_ 1SE8 JIPR ~9 P~ 2~ 42
~x.~~.~c ~ca~t o
Sx1t06ER
P~OITRASA.
M.EIlK CMOIAT CG!
F;ECRD ~ERti'1fR_
signature - '
~+~orn to and subscribed before me this day of , A. D. 19
rotary P is State o F on a at Large.
My Commission expires
~ 80~(JJIJ P~~~
_