HomeMy WebLinkAbout0135 }
• ' : ~ n~ :.DECLARATION OF DOMICILE 49~hrs
To the Clerk of the Circuit Court [County Comptroller) ST. LUC 1 E County, Florida.
This is my declaration of domicile in the State of that I am filing
this-day in accordance and in conformity with. Section ~~3;1'I;~I~da
Statutes.
- -r
FOR ~Q!lICILURIES OF THE SATE OF FLORIDA:
I hereby declare that I reside in and maintain a place of abode at \ OQ LAY~~. ~+fST
s ee an n r i
'T. ~.v~
~ t in ST . L UC 1 E County, Florida, which place of abode I j
c
recognise andyintend 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 con~~nue 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 ~d t.AY„t~.s~sT ,
s zee an n er
~'S S^t ~...c'.~ , in 1,.~+t~ a County,- Florida. I formerly resided at
~c ty ~
~A~:ow, :o County, :o , and the
c ty sta e ~ -
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.)
tC ? ~i ; p J
~ :U
- -
,rr ~•yt • . ~~t
~o
V,~
sigma ure
Sworn to and subscribed before me this ~ day of ~ A. D. 19 ~
ROG PO I TRA S, CLERK CIRCUIT COURT ~
ST. LUCIE COUNTY, FLORIDA.
Notary Pu c State o F on a at Large.
My Commission expires BY 1~~~~:~~ DEPUTY CLERK'
~ _
FOR DOMICILIARIES OF STATES OTHER THAN THE STATE OF FLORIDA:
er y ec are t my c e s the State of and that I intend
to permanently continue and maintain my domicile in suc state. At a 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.)
E '
(Person making declaration may also include such other and furtfier 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.)
s -
4~31~ •
CNttxNt 1
REC~tO VERiflEO
signature
Sworn to and subscribed before me this day of , A. D. 19
i
~ ~ I
r
t Notary P 1c State o For a at Large.
My Commission expires •
• . -BOOK335 PEE 135.
~
k~~