HomeMy WebLinkAbout0084 X8'783'7
' Z{~: DECLARATION OF DOMICILE
To the Clerk of the Circuit Court [County Comptrollers ST. L UGIE County, Florida.
This is my declaration of domicile in the State of /'L 014 u ~ , that I am filing
this day in accordance and i.n conformity with Section ~'~~I'Y;
~~da 3`tatutes.
FOR~!lICILIIIRIES OF THE STATE OF FLORIDA:
I hereby declare that I reside in and maintain a place of abode at ! Q O 3 0 R k i4 ~/c.`,
_ s ree an n r
~ R T ~'1 R = ~ in ST. LUG 1 E County, Florida, which place of abode I
c y
recognize and intend to maintain as my pezmanent 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 hare,
_ end I intend to co~inue 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 /,5'~~ t,Jy S rni N y /4~~ ~
street an num er
~ i 1~/ c, ~ G ~ in S ~ , ~ ti c ~ t County, Florida. ~ I formerly resided at
c ty ~ '
h I A 5 S L N R _ , ' St , A ~ ~ ~ we County, K1 C v ~ , and the
c ty sta e
place or places where I maintain another or other place or places of abode are as follows:
(Here 3ist street address, city, county and state of any other place or places of abode.)
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• '~o~ signature
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Sworn to and subscribed before me this ~ € day of ~ay. , A. D. 19 ~
ROGER POI 1RAS, CLERK CIRCUIT COURT
ST. LUG I E COUNTY, FLORIDA
Notary Pu is State o F on a at Large.
My Commission expires B Y ~~a mcs.c.~s'L DEP U TY C L E R K
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I FOR DOMICILIARIES OF STATES. OTHER THAN THE STATE OF FLORIDA:
ere y ec are t at my omic e s n the State of and that I intend.
` to permanently continue and maintain my domicile in sue 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.)
(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.)
1980 KAY 28 P!i ~ OS
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CLERK ClRC+11T CJUit1
48'783'7
signature
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Sworn to and subscribed befoie~me this day of A. D. 19
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Notary Pu is State o F on a at Large.
~ '~y Commission expires ,
a
Br.~K~~ PdCE 84 . , i