HomeMy WebLinkAbout2905
5'~'~Cl941
DECLARl1TION OF OQ!lICILE
~/
To~.he Clerk of the Circuit Court [County Caaptroller) ST. LUC I E County, Florida.
This is ny declaration of domicile in the State of ~ z~~ , , that I am fflinq
this day in accordance and in conformity with Section ., F or a tatutes.
FOR DOMICILIIIRIES OF THE STATB GF FLORIDl~:
~I
I hereby declare that I reside fn and maintain a place of abode at~~~/ , Gti~ ~ c~ /~ ,
~ s ree an n er
, in ST County, Florida, which pla~e of abode I
city
recognize 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 nry predominant and principal hane,
and I intend to continue it permanently as such. I am, at the time of mali q is ~~clar
tion, a boz-a fide resident of the State of Florida ~sidinq at ~q ' ctt/` ~-
~ t . ~ stree an nu er
~Gy , in '`~ unty, Florida. I formerly resided at
Y . (~~~/(/ ~
~' , ounty,~ , and the
clty ~ state -
place places Where I maintain another or ot place or places of abode are as follows:
(Here list street address, city, county and state of any other place or places of abode.)
I BECAME A RESIOfNT ON THE~G~OAY OF _/~~ ~ 19~.
~~ CO U,+j j.
~,~ ..~.:-~-•. ~-
: C~
; UJ.` ~~b ~~ °' ` G r
~_ -~: :~ ~/
U :~ ~~~~;: ~ - n /
''~<:~---- : "`.='.=: -~ ,,° si nature
''` co;; ;--Y . F~° g
~i /
Sworn to and subscribed before me this~7Wri day of `g ' , A. D. 19w~
ROGER P01 TRAS, CLERK C IRCUI T COURT
5T. LtfGIE COUNTY, FLORIDA
Notary Pubiic State o F ori a at Large.
My ~aa~ission expires . B Y ~~~_ n~ DE P U T Y C L E R K
FOR DOMICILI~-RIES QP STATES OTHER THAN THE STATE OF FIARIDA:
ez ec are t~y onu.c e s in the State of and that I intend
to permanently oontinue and maintain ~y doanicile in suc state. At t e time of making this
declaration I am a bona fide resident of the State of My place of
abode ~+ithin the State of Florida, if any, fs as follows: Here ist street address, city,
and county of place of abode in Florida.)
(Person makinq declaration may also include such other and fnrther 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.)
198I HAR 19 AM 11= 25
5~~7`!1 ST LUC E COl!'11Y Ft A•
ROGER POl1RA5
CLERK CIF.N11 C4UR1 ~
u ~ f.':f,'~ '~ I _ < <; • ~ --
i
~ ~/ G%~~,1 ~ G ~4
s ature
sworn to and subscribed before me this ~~ day of ~ , A. D. 19 a~.
tiotary ic State o Flor at Larqe.
My Co~mnission expires
~35~0 P,~E~ ,
~
k
~...,_. -