HomeMy WebLinkAbout1532 492194
' n~';.DECLARATION OF DOMICILE
To the Clerk of the Circuit Court [County Comptroller) ST. L UGIE 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~da Statutes.
FOR ~OMICILURIES OF THE S?ATE OF FLORIDA:
I hereby declare that I reside in and maintain a place of abode at /(o / , r t,~ S~ ,
s ree an n er
ff~Sf_. ~.t,~ c? i ~ in ST. LUC I E County, Florida, which place of abode I
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recognize and intend to maintain as my permanent hone 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-time of making this declara-
tion, a bona fide resident of the State of Florida residing at ,(f ~ S~,
street an nun~erj
6 ~ f- Sf r.e ~ c , in s f L ; ~ County, Florida. I formerly resided at
c ty ~
n, . , - County, ern. , and the
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
Sworn to and subscribed before me this ~ day of , A. D. 1956
~ ROGER PO I TRA S, CLERK G i RGU i T GOUR T
j ST. LUGIE COUNTY,. FLORIDA
Notary Pu lic State o F on a at Large. ^ n~/,~~
I My Commission expires BY l l~y~G~""`..~ DEPUTY G L E R K
FOR DOMICILIARIES OF STATES OTHER THAN THE STATE OF FLORIDAA:
i
ere y ec are t t my omici a is 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.)'
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signature
sworn to and subscribed before me this day of A. D. 19
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Notary is State o F or1 a at Large.
My Commission expires .
BOOK JJ~ PAGE 15~~