HomeMy WebLinkAbout2069 ' _ 494315
• ;'ZIP: DECLARATION OF DOMICILE
To the Clerk of the Circuit Court [County Comptrollers ST. LUCIE County, Florida.
This is mY declaration of domicile in the State of /D /D It , that I am filing
this day in accordance and in confonaity with.Sectfon , roiiaa
Statutes.
FOR ~OMICILIARIES OF TH8 STATE OF FLORIDA: -
I hereby declare that I reside in and maintain a place of abode at ,Z~Q .fl/!I/P/s~ B~yO,
s res an n r
`DA'T ~/~E E , in ST. LUDI E County.. Florida, which place of abode I
(city
recognise 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 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 ~(1 rl• .rU/!if/S2 ~/YD ,
s rest an n r
FD/r T PI CR E' in ~$T LUC/~ County, Florida. I formerly resided at
,fHRb prl!( - j?eS TCHdSTCjjp County, /Vth/ ya~~ and the
c ty 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 pNlaces•of abode.)
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Sworn to and subscribed before me this day of , A. D. 19~.
- G POI TRAS, CLERK G IRGUI T GOURT
T. L IE COUNTY, FLORIDA
~ No c State o For a at Large.
My ommission expires tdo PuoMC. State tN Fwrw,e wt 1.srgs BY - DE PUT V G L E R K
Expires Oct 24. 198a
FOR DOMICILIARIES-OF STATES OTHER THAN THE STATE OF FLORIDA:
er y ec are my c e s the State of and that I intend I
j to permanently continue and maintain my dcaicfle in suc state. At a time of making this
E 3eclaratfon I am a bona fide resident of~ the State of lily place of
abode within the State of Florida, if any, is as follows: ere st street. address, city,
and county of place of abode-in Florida.) -
(Person making declaratiat may also include such other and further facts with reference to
any acts done or performed by such person which such person desizes.or intends not to be
construed as evidencing any intention to establish his domicile within the State of Florida.)
494315 .
19~ JU. 29 AN il= 27
fIL IE C pF T .F A.
~f'OITRAS -
~ER)i ~.IRGJIT (~11RT -
- ~t6a0R0`a16RIPiED.,.
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signature
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~ Sworn to and subscribed before me this day of A. D. 19
r
Notary P sc State o For at Large.
My Commission expires
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