HomeMy WebLinkAbout032551'7'765
AECLARATION OF DOMICILE ~
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To the Clerk of the Circuit Court [County Comptroller) ST. LUC I E County, Florida.
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This is my declaration of domicile in the State of , that I am filing
this day in accordance and in conformity with Section . ~ F orida Statutes.
FOR DOMICILIARIES OF THE STATE OF FLORIDA:
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I hereby declare that I reside in and maintain a place of abode at p. ~'; rn.~-4~T ~1•aw1F
stree an number~
f~~,~`-~.~ .~~ , in STLLUCI~ County, Florida, which place of abode I
city) '
recoqnize and intend to maintain as my permanent home and, if I maintain another place oz
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 mak' g th± d clara-
tion, a bona fide resident of the State of Florida resi8inq at .~:,?yj. `~ ~~ %v. .
„ street an n r)
~i~~~ ~. . in Cou~nty, Florida. Z formerly resided at
city ' ~, ~
,'~ ~~i,.,..~,~~~~ // ~!_ . %~t~G County, , and the
~ `~'city ate
place or places where I maintain another oz other place or pla s of abode are as follows:
(Here list street address, city, county and state of any other place or places of abode.)
I BECAME A RESIDENT,ON THE DAY OF
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, 19 .
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(siqnature)
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Sworn to and subscribed before me this ~ day of ~ , A. D. 19~ .
.
ROGER PO I 1R p S, GL ERK C i RCU 1 T COUR T
~ ST. •LUC i E COUNTY, FLOR f 0A
Notary Public State of Florida at Large.
My Commission expires . BY~ ~1~-~-u OEPUTY CLERK
FOR DOMICILIARIES OF STATES OTHER TH:+n THE STATE OF FIARIDiA:
ere y ec are t at my omicile is in the State of and that I intend
to pernianently continue and maintain my domici2e in such state. At the time of making this
declaration I am a bona fide resident of the State of . I+ty place of
ah~cle within the State of Florida, if any, is as follows: (Here list 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 evidencinq any intention to establish his domicile within the State of Florida.)
~ 51'7'765
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1981 F~ ; 23 PI~ ~ ?9
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(signature)
sworn to snd subscribed before me this
~ r~otary Public State of Florida at Larqe.
My Commission expires .
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day of , A. D. 19
~ ''P 349 P~~E 3~'6
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