HomeMy WebLinkAbout0325~~ j I
51954~
DECI T~RATION OF DOMICILE
- .
;o the Clerk of the Circuit Court (County Comptroller~ ST. L UCIE County, Florida.
';his is my declaration of domicile in the State of ~~~~~~~ , that I am filing
r.his day in accordance and in confozmity with Section ~23:1~;-FTo i~a Statutes.
='JR DOMICILIARIES OF THE STATE OF FLORIDA:
Z hereby declare that I reside in and maintain a place of abode at ~//y !~ S~nc~ S~ .
r street an nu er
r~'r-f PL~r~•~ . in _ ST. LUCIe_ County, Florida, which place of abode I
c 1 ty ..,.,, ,< r.•
~«•cognize and intend to maintain as my permanent home and, if I maintain another o2ace or
places of abode in some other state or states, I hereby declare that my above-described
:-~sidence and abode in the State of Florida constitutes my predominant and principal hone,
~-,d I intend to continue it perman~ntly as such. I am, at the time of making this declara-
t ion, a bona fide resident of the State of Florida residing at 3i/y~ S. 2~,~c~ g-r- - .
- street an nun rT
F~~r'~" P;r•-c'-Q , in 5~- L;,~,~Q_ County, Florida. I formerly resided at
~-~c i ty ~-~----z
~ • --
1:, t l5o~r /l~ ~~~. _~~~~ County, e~t; ~~j~-~~ , and the
city - s a~e
nlace or places where I maintain another or other place or places of abode are as follows:
~tiere list street address, city, county and state of any other place or places of abode.)
'3ECANlE A RE51 DENT Ot~ THE _~~ DAY OF ~` ~.~ ~ 19~L.
s,~~COUNTj,co
a~c •' -~: ' ~ /
v =..; , i ='a~ / ~ _ ----- ---
-~,:'-• : b~.~.,'=~~ - l 1 ~
~~;:~~~ ~ ~~ ~~,~. signature
, ~ .:~.~~;~ ~. ~,(3Ake4)
ti~~~~
~•worn to and subscribed before me this 9~ `day of ~~,~t~vu/~
, A. D. 19 g~
~ ROGER PO i TR~ S, CL ERK C I RCU I T COl~2 T
_ ST. LUC I E COUNTY; FLOR I DA
':~*.ary Public State of Florida at Larae. ~_- J ~y/
'-'r Commission expires BY ~~u~a (A~(.t,cC~i GEPUTY CLERK
v -
:"R DO!~IICILIARIES OF STATES OTHER THAN THE STATE OF FLORIDA:
- -- -- _y...::.~w~ . va~-iY,; a•.•••_ -.sra.~ram~:_.~es~r_ r,arnr:,.r~--_.a*~srac~ta:-a-~s: sr ~r-..r~;s
::~ereby declare that my domicile is in the State of and that I intend
~o ~~er.:~anently continue and maintain my domicile in suc state. At the time of ,:~aking this
.~~claration I am a bona fide resident of the State of . My place of
_,~~?e within the State of Florida, if any, is as follows: Here ist street address, city,
-:-:d county of place of abode in Florida. )
'~-rson making declaration may also ?nclude sucfi other and further facts with reference to
:^y acts done or performed by such person which such person desires or intends not to be
_=r;strued as evide~cing any inten:ion to establish his domicile within the State of Florida.)
51954'~
~81 MAR -9 l~ ~ I~ ~ ~
sr iu~c~ fq,Cli~"~~~-
ROG R f~i
CIERK CIRCUF~ t( fD
F; cc:~-~~ ~: r:~:t t.. _ J~ ~
signature
"-.~orn to and subscribed before me this day of
':ot~ry Pub ic State of Flori a at Large.
";• Commission expires .
, A. D. 19 .
g~~ 350 PAGE 325
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