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493999
• ~ ~:DECLIIRATION OF DOMICILE
To the Clerk of the.Circuit Court [County Comptroller) ST. LUCIE ~ County, Florida.
This is my declaration of daaicile in the state or __~l~ ~ cost 1 am filing
this day in accordance and in oonfosmity with. Section , or a-Statutes.
T.
FOR 'b~1ICILIARIES OF THE 8Z'ATE OF FLORIOII:
I hereby declare that I reside itr and maintain a place of abode at ~ G s CAL DSA,DiPN/L~
s res an ni er
1., yC ~ , in ST. LUG 1 E County, Florida, which place of abode I
rscoq:iiae andyintend to maintain as my permanent home and,~if I maintain another place•or
places of abode in sale other state or states, i hereby declare that my above-described
residence and abode in the State of Florida constitutes my pradaainant and principal haae,
and I intend to con~fnue it permanently as such. I am, at the tiwe of in this dec ora-
tion, a bona fide resident of the State of Florida residing at
_ s res an n r
pORT' .S t' ~ r I , in ST (/C / ~ ~ County, Florida. ~ I formerly resided at
c ~
L ~ ~ ~ ~~.~E~~? -County, . and the
c y sae
place or places where I maintain anothez or other place or places of a are as follows:
(Here list stzeet address, city, county and state of any other place or places of abode.)
1~
~ C~,. NjL~
• .r r.:
- may'` C.O~ ~ -
J'•• ~ ~'y+~. r • y
~ 't1~~•~~gJ
:'•Q\OP 8 ~na ore _ -
G`'FCOUkjY-F`° lif•foRd C% /~',A,l/aRd, SQ.
Sworn to and subscribed before me this ~ S' day of ~ , A. D. 19 ~ .
. ROGER PO i TRA S, CLERK CIRCUIT COURT
- ST. LUG I E COUNTY, FLOR 1 DA
Notary is State o For a at Large. nn ~j _
My Commission expires B Y ~ ~~G%~ DEPUTY G L E R K
f d
FOR DOliICILIARIES OF STATES OTHBR THAN THB STATE OF FLORIDA: -
er y ec are my c e s the State of and that I intend
~ to permanently oontinne and maintain my domicile in sac 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: ere st street address, city,
and county~f-Macs- of-abode--fir- Florida.-) -
(Person making declarations 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.)
_493999
1980 JlA. 25 I~f ~ 33 - -
! ~ ~ T~
A,
(IE YERIF T _ .
• s gnature.
Sworn to and subscribed before me this day of , A. D. 19
Notary c State o For at e.
yy Commission expires
X35 P~i548 -