HomeMy WebLinkAbout2887 4t~S894
DECLARATION 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 ST.~u ci that I am filing
this day in accordance and in conformity with Section on a tatutes.
FOR DOMICILIARIES OF THE SATE OF FLORIDA:
~ hereby declare that I reside in and maintain a place of abode at 0 I N. Fete 1 ~ hwy.
s ree an n er
0 7' ~I!(o FT~P•Q2CE' in ST. LUC i E 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 time of making this declara-
tion, a bona fide resident of the State of Florida residing at S ,
-tstreet anon TierT
in County, Florida. I formerly resided at
c ty ~
Sana„c,~- , County, , and the
city state
place or places where I maintain 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 HEREdY CERTIFY THAT I HAVE BEEN A RESIDENT OF FLORIDA SINCE 1951
ti
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j: _ ~'j ~ signature
s _ , ~ oQ ~l
Sworn to and Bribed before me this - g day of ~C~ _ , A. D. 19 ~ .
ROGER POI TRAS, CLERK CIRCUIT COURT_
ST. LUC I E COUNTY, FLOR i DA
notary Pu is State o F on a at Large. ~ DE P U T Y C L E R K
My Commission expires B Y
FOR DOMICILIARIES OF STATES OTHER THAN THE STATE OF FLORIDA:
ere y ec are t at my omica. a is in the State of and that Y intend
to permanently continue and maintain my domicile in suc state. At t e time of making this
declaration I em 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.)
(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.)
~~5894
t~~ NkY -8 A~! ~ 30
F LEO AliC• FfC6Nfli0
Si! LOCIE COU8IY.F A.
ROGER POITRA~
CLERK CIRCUIT COURT
aFcars'~~F~~rleo---`r3--~ .
signature
Sworn to and subscribed before me this day of , A. D. 19
Notary Pu is State o Flori a at Large.
My Commission expizes j
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