HomeMy WebLinkAbout2266 '=V<7V I V ?
DECLARATION OF DOMICILE
To the Clerk of the Circuit Court [County Comptroller] ST. LUCIE County, Florida.
This is my declaration of domicile in the State of Dot?/ O~a-- that I am filing
this day in accordance and in conformity with Section , Io~i~da
Statutes. .l-,r
FOR~OMICILIARIES OF THS STATE OF FLORIDA: ~ Vf''
P~
I hereby declare at I reside in and maintain a place of abode at c3 ~
s ree an n er
in ST. LUGIE County, Florida, which place of abode I
c y
recognize and intend to maintain as my penaanent home and, if I maintain another place~or
places of abode in saane 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 m inq thi,,scl~ar~,
tion, a bona fide resident of the State of Florida residing at_?!o 7 a. 1//~' , ~
street an nu er
vL ~ ~~v in ~c~ County, Florida. Z formerly resided at
city ~
city ~ County, ~-~tate ~ and the
place or places where I maintain anothe 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.)
/Yo rV E
~'1 tl w' e a ~ e~ c w•• w~.~ 3 1 dr v.
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_ ti.Y;.. ~,f ~ : ~M Cap. s.~~
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S~i~h~~i~~ubscribed before me this / day of -..c- A. D. 19
'~'{~riio::~~''`' OGER POi TRAS, GLER G IRCUI T COURT
~r,~`~ LUG i E COUNTY, OR I DA
ary Pu is State o F ori'~a at Large.
My Commi3310n expires vl DEPUTY C L E R K
t
FOR DOMICILIARIES OF STATES OTHER THAN TAE S TE RIDA:
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 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.)
4890'78
1980 .NN 10 AM 9' OS
SJ~E STA.
TTCIERK ClltatR~j~ 5T
fi
RECM+s VE1~~~0
signature
Sworn to and subscribed before me this day of , A. D. 19
i
.7otary P 1c State o F on a at Large.
My Commission expires
3
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