HomeMy WebLinkAbout2377 _ _ _ __r_._ _ _ ~ ~ , . _ y ,
48S6U6
t-
• ~':flSCLARATION OF DOMICILE
To the Clerk .of the Circuit Court [County Coaaptroller] ST. LUG 1 E bounty, Florida.
This is my declaration of domicile in the Stats of ~ that I am filing _
this day in accordance and• in conformity with. Section ~~~'~--~loriaa
Statutes.
FOR ~lICILIARIES OF THS STATE OF FLORIDA:
~~n.
I hereby declare that I reside in and maintain a place of abode at ~ 1'1~ Jt l~ ~Yc.~( , ~ -
s ee an n er 1'
' t ~iV , in ST. LUC 1 E County, Florida, -which ~~?lace of abode I
c y -
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 of maki this .de lara-
tion, a bona fide resident of the St to of Florida residing at , ~
• street~an
.n r
r~ /~C~ in 2a.. County, Florida. I formerly resided at
j c ty~ ~ r ~ ~ilr
can ta,L~-/~ . ~ ~-'~'-10.,U~ o~.i- County, , and the
c ty sate •
place or places where I maintain another or other place or places of abode are as -follows:
(xere list street address, city, county and state of any other place or places of abode.)
-
~
• ~liftt.~y~ir~ r .
s
'k
i
> - ~ \ _
N . A ' ~ : ~j i
Sworn to and subscribed before me this day of , A. f
ROGER POI 7RA S, CL ER ~ rRCtJ'f
T LOUR T
LUG I E COUNTY, FL I OA
*.lotary Pu is State o F on a at Large.
My Commission expires BY DEPUTY C L E R K
i -
FOR DOMICILIARIES OF STATES OTHER THAN THE STATE OF
j I ere y ec are t at my omic a is n the State of ~ and that I intend ~
to permanently continue and maintain my domicile in suc state. At a 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, E
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 E.
construed as evidencing any intention to establish his domicile within the State of Florida.) i-
i
~ MAY -6 pM 20
F f~AtC RE ~
w 0
~ ~ FaC~ A.
CM~tIT Ga1~11~
R
~ `~`-`f-'-----
'~~Q6 -
r -
x
~ - signature
S
E
sworn to and subscribed before me this day of A. D. 19
~ ~
notary is State o F on a at Large..
*~y Commission expires -
.
BO~c)c)l/ PAGE~~~