HomeMy WebLinkAbout1782 4~8'7S5 n
' n~;: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 ~ oa~.i~- that I am filing
this day in accordance and in conformity with Section ~~'f;17;
l~~iaa 3`tatutes.
FOR~OMICILIARIES OF THE STATE OF FLORIDA: (Q [ S W 4 ~o•'~-•~' ~1~ ,
I hereby declare that I reside in and maintain a place of abode at ~6/S/~! ,rid~po~ 0/~ ,
• s ree an n er
in ST. LUC I E County, Florida, which place of abode I
ci 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 hone,
end I intend to continue it permanently as such. I am, at the time of ma,~inq this declara-
tion, a bona fide resident of the State of Florida residing at„t'~/f'u//3li~i,~F.~4~,~/~ , s
street an n r
Z i - OftF in~j ~GC'i%~` County, Florida. I formerly resided at
ity _ ~ ~
i-`ST ~ - . " "'~~l/%~ County, • and the
c ty s to
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.)
t `~ti~:111a/~~~„
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signa ure
K~'h
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Sworn to and subscribed before me this day of 3-t,~ ~ , A. D. 19 SO
ROGER P01 TRAS, CLERK CIRCUIT COURT
LUC I E COUNTY, LOR I DA
Notary Pu lic State o F on a at Large.
My Commission expires BY DEPUTY C L E R K
f FOR DOMICI:.IARIES OF STATES OTHER THAN THE STATE OF F
i
ere y ec are t at my omicile is in the State of and that I intend
to permanently continue and maintain my domicile in suc state. At t e time of making this
declaration Z am a bona fide resident of the State of A!y 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
1 construed as evidencing any intention to establish his domicile within the State of Florida.)
i
4L~'7S5
X980 JUN -5 PSI ~ 17
a i1tE4 A L fECfut~Ei
SttUC COUiftY.F A.
ROG POITRA~
CLERK CiRCU1T CC T D
kEfB~• \•ER1fIED~-~
4 signature
sworn to and subscribed before me this day of A. D. 19
r+otary Pu is State o F on a at Large.
~y Commission expires -
8OaK PACE
• •