HomeMy WebLinkAbout1789 490698 7~
- ~~=DECLARATION OF DOMICILE
To the Clerk of the Circuit Court County Comptroller) ST .n L UhCIE County, Florida.
This is my declaration of domicile in the State of ~ ~ R~,~~ , that I am filing
this day in accordance and in conformity with Section , or a tatutes.
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FOR ti0NlICILIARIES OF THE STATE OF FLORIDA:
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thereby de are that I reside in and maintain a place of abode at 0 1
s ree an n er
.e, in ST. LUG 1 E County, Florida, which place of abode I
c y
recognYze 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 conkinue it permanently as such. I am, at the t of aki~q this ora-
tion, a a fide resident of the St to of Florida residing at SSa /h
~C / ~ s rest an n r
in : County, Florida. I formerly resided at
~r c t •
- W A)~ County, ~ , and the ~
c sate -
place or pla es where I maintain another or other place or places of abode are as follows:
( ere st stre t address, city, county and s ate f any other place or places of abode.)
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Sworn to and sub bps re me this ~ tf day of _ c4..~.st , A. D. 19 ~
ROGER P01 TRAS, CLERK CIRCUIT COURT
ST. LUG I E COUNTY, FLOR 1 DA
Notary Pu c State o Fors a at Large. ^
My Commission expires BY y~uc~ ~Y;uccCx1 DEPUTY G ~ E R
FOR DOMICILIARIES OF STATES OTHER THAN THE STATE OF FLORIDA:
E
er 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 suc state. At t e time of making this
i 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.)
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1980 .~lN 24 PN 12~ 42
1 Rp~ER POITRAS
Cl CiRCU1T CO
{ REf18R0 YERIf~r~_ . _ _ _
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signature
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Sworn to and subscribed before me this day of , A. D. 19
Notary Pub is State o For a at Large.
My Commission expires _
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