HomeMy WebLinkAbout150951843~
DECLARATION OF DOMICILE
To the Clerk of the Circuit Court [County Comptroller) ST. I.UCIE County, Florida.
This is my declaration of domicile in the State of ~'L-ur~~l7^ , that I am filing
this day in accordance and in conformity with Section Z~'F.TY, Flori~a 5tatutes.
FOR DOMICILIARIES OF THE STATE OF FLORIDA:
I hereby declare that I reside in and maintain a place of abode at '3c~ 33 Ma~~t,~~tl~'aSiDE g~~~•,
(street and number)
F~~ f~~ .ST. Luc~ E , in $T,,_I,UC 1~ County, Florida, which place of abode I
~~ity)
~ecognize 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 makinq this dec ara-
t ion, n bona fide resident of the 5tate of Florida residing at 3c. ~3 3~1~~~.'~ ti~ ~ S'. c~E ~~'1> ~
~__ r..F~ T C street anai number)
,~- ~,,, ~;_ , in 5 T L. K-~ i~- County, Florida. I formerly resided at
city) ~'
V C- ~ U n l A , ~ S 3 Z- X Coun ty, /~ ~ T* , an d t h e
(city) istate)
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.)
_fl,V
i BECAME A RE51 DENT O,N THE Z~ '~ OAY OF ~~ r• ~ 19 a D ~
~-.-~-~{ii~', -•~
: k
~~'~ ~ s. + j • j ~ 'h
, ~ . •; ~
.r , _-- . ' i
.~~. y~ • :~%
~t~ ~ ` _ : . ~_ ~ •3
~sti - ~, :;; ; t _ ~
Geo ~c-g ~
~ ~
~ ~~ ~t
~~ ~
/~ G. i,~ _ i,
~ ~:~~NS~oc~
sworn to and subscribed before me this :~ 7
~ ~ ,
`" 'j' ~'"'L'~
, • , ~ ---~---T--
~ ~,l ~ s~~ N
k I, z a`"~i ~~ S'
day of ~~2,G~1.c.~4~+.-~ , A. D. 19 ~~ .
ROGER POI TRAS, CLERK C lRCU1 T COURT
ST. LUC I E COUNTY, FLOR I OA ~
~~otary Public State of Florida at Large. ~ ~~ ~--
My Commission expires . BY~ ~~"~--~`- `-' DE PU T lr C L E R K
FOR DOMICILIARIES OF STATES OTHER THAN THE STATE OF FLORIDA:
ere y eclare t at my~ omicile is in the State of and that Z intend
to permanently 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: (Nere list street address, city,
ar.d county of place of abode in Florida.) .
(Person making declaration may also include such other and further facts ~rith 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 Plorida.)
51843~
. ~
~
_ - r,.,. .
sworn to and subscribed before me this
`.otary Public State'of Florida at Larqe.
My Commission expires .
1981 F~~ 27 ~.. 3: I B
F': t I tNi ' :,~. i:
~' ll.'r,~ :':.i't:i_
FC?G:_:? Y~t i f~ ;:; +
Ct.F~~~:~:: = . . ' "f';'~ ~~
. ~~-p f
{signature)
day of , A. D. 19
a~X349 r~cE15~
I
;
r .
- . _ ' .' ~
's~'~c~.i--~:..r..--: .- ' ' . _ -- . .