HomeMy WebLinkAbout1173 •
.
ng3?~2 •
• ;-ri~;.DECLARATION OF OONICILE
•
To the Clerk of the Circuit Court (County Comptroller) ST. LUCIE County, Florida.
This is my declaration of domicile in the State of F~0 , that I am filing
this day in accordance and in conformity with. Section Fem. , or c~~`tatutes.
-r
FOR ~OMICILIARIES OF THE STATE OF FLORIDA: n
I hereby declare that I reside in and maintain a place of abode at ~D ~a ASI1 cSf- • E
(s ree an n er
• ~f~- , in ,~T. LUC 1 E County, Florida, which place of abode I
c y - i
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 bane,
- and I_intend to continue it permanently as such. I am, at the t e of~ak 3.n this declara-
tion,- abona fide resident of the State of Florida residing at _ ASh .bf• ;
• 3~' ! , in stree an~n~ er
LUC ~ LUCK a County, Florida. I formerly resided at ~
c y , • C- air ANa;Dq county, UG2td ! ~ and the
~ou~~
cty sae -
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.)
. -
• ~GOUNT
•••~LF~r •••.,y~, .
. J r• ~ ~~G JQI.,
V S 7n - -
ac : : -t ~ - - - -
v :
'rt'-•:s~"G' S.;~
\o~ ` ~ gnat e _
`''FCCU~i+•~ Nay~R4 0
- FLo~ 2. NarAR'R n
Sworn to and subscribed before me this a3 day of , A. D. 19 ~
• ROGER PO I TRA S, CLERK G I RCU I T COURT
ST. LUC I E COUNTY, FLOR i DA
xotary Pub is State o F on a. at Large. ~7
My Commission expires BY ,Q. (1~'~:cac~e~ DEPUTY C L E R K
E FOR DOMICILIARIES OF STATES OTHER THAN THE STATE OF FLORIDA: - .
er y ec are t my ci a s 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 P!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
" construed as evidencing any intention to establish his danicile within the State of Florida.) ~
- 493'2 - -
~ JlA. 23 AK il~ 23
~~LE_p ~~'+POtTRA~A.
~ IJCC~
P~ANTWTCOlN1 .
RECORD VEMfiEO~_
vv~~ `i
.
a
signature
i
- r
i - ~
sworn to and subscribed before me this day of ,~A. D. 19
8 ~
rJOtary P c State o P or a at Large.
My Camnission expires
. - 800 PAGE ~~7