HomeMy WebLinkAbout0320 4~b171 ~
:flECLARATION OF DCWIICILE
To the Clerk of the Circuit Court [County Comptroller) ST. L UCIE County, Florida. {
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This is my declaration of domicile in the State of T Lu ~ ~ p~ , that I am filing
this day in accordance and in conformity with Section 2~o~da`3`tatutes.
FOR D~MICILZARIES OF THE STATE. OF FLORIDA:
lD~ ~ T ,
I hereby declare that I reside in and maintain a place of abode at 1'~i•~~- RJ~JMtf~ (IGr, ,
~ s ree an n er
.~e/t.e~~ in ST. LUG 1 E County, Florida, which place of abode I
T--~ Zcity
recognize and intend to maintain es 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 ti,,~e pf~ aking ec~ara-
tion, a bona fide resident of the State of Florida residing at /C~pA y~li,G~`iC eft i , )
J ~ street an n er
CA in s-7F 1. uG j County, Florida. I formerly resided at
ity 5~,~,y. ~j~. 01~-r~ County, ~ and the I
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.)
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signature '~~1' .
Sworn to and subscribed before me this day of , A. D. 19 '
ROG I TRAS, CLERK CIRCUIT COURT
S UC I E COU Y, FLOR A
tiotary Public State o Flori a at Large. _ _ ~
My Commission expires DE PuT Y G L E R K
FOR DOMICILIARIES OF STATES OTHER THAN THE STATE OF FLO DA:
I ere y ec are t at my domicile is in the State of and that I intend
r_o 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.) #
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{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 bet
construed as evidencing any intention to establish his domicile within the State of Florida.)
461'71 .
1980 N~lf -9 PK ~ 55
FILED MHO fECO~a:.p
St
~LOU~CEIERCOUMT Y. F l A.
~~FJtR POITRAS
CIRCUIT COUR
~AMe~tTlttFift~_. ~ _
signature
Sworn to and subscribed before me this day of A. D. I9
*lotary Pu is State of Florida at Large.
""y Commission expires
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