HomeMy WebLinkAbout025351'~'719
DECLARATION OF DOMICILE
To the Clerk of the Circuit Court [County Comptrollerj ST. LUC I E
~/
County, Florida.
This is my declaration of domicile in the State of r~~~ 17 l~ • that I am filing
this day in accordance and in conformity with Section 2., F oricla Statutes.
FOR DOMICILIARIES OF THE STATE OF FLORIDA:
I hereby declare that I
` reside in and maintain a place of abode at _~
J~~ ~
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'/~L~ e
in ST
LUC I E
C
t ( t
s reet an n er)
Fl
id
hi
7~~
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. oun
y, or
a, w
ch place of abode I
city~
recoqnize and intend to maintain as my permanent home and, if I maintain another clace or
places of abode in some other state or states, I hereby de clare that my above-described
~esidence and abode in the State of Florida constitutes my predominant and principal home,
and I intend to continu e it permanently as such. I am, at the time of making this declara-
tion, a bona fide resid ent of the State of Florida residin g at / Z o't A v e ~ .
PN Q
~oI'1 r f i' @ in c5r
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C
t (street and numbery
Fl
id
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l
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u e.e oun
y, or
a. I
ormer
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ded at
(city)
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County, ~
~oK f~ ~.Q/10l,,,•,Q , and the
city) (state) ~
place or places where I maintain another or other Y~u.:~ cr r?.aces of abode are as follows:
(Here list street address, city, county and state of any other place or places of abode.)
BECAME A RES 1 DENT ON THE ~3Rp DAY OF F~S~[4~vR~/ 19~ .
~A - ~ c~ ~- e tt T ~
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tsignature) ~'r::t_~•r• ~
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Sworn to and s:ibscribed before me this ~3 day o~ , , A~~~`1'. •~'9 .,.•
~4
ROGER PO I TRp S, CL'E~kR~t:~l.l t COl~2 T
ST. LUC I E OUNTY, FLffR~i~A
!votary Public State of Florida at Large. .•
My Canmission expires . 81r~ . DE PU T tr C L E R K
FOR DOMICILIARIES OF STATES OTHER THAN THE STATE OF FLORIDA:
I ere y ec are t at my domicile is in the State of and that Z intend
to pernianently continue and maintain my domicile in such state. At the 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 list street address, city,
and county of place of abode in Florida.)
tPerson making declaration may also include such other and further facts wit;: reference to
any acts done or performed~by such person which such person desires or intends not to be
construed as evidencinq any intention to establish his domicile within the State of Florida.)
51'~'719
1981 ~ ~g 23 ~1~ il~ 5°
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f;lfCt~i~ ~;C:!~•i;:
st~uc~~ cc~~~s~+,+ ;:.
RGG~R PC;i'
- CLE: K C1: :': • !~
(signature)
sworn to and subscribed before me thfs
day of , A. D. 14 .
*lotary Public State of FYorida at Large.
My Commission expires .
eo~x349 P~~E 253
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