HomeMy WebLinkAbout1056DECLARATION OF DOMICILE
.~ tAe Clerk of the Circuit Court [County Comptroller) ST. L UCIE
s%~165~
County, Florida.
_:-.:s is my declaration of dor.iicile in the State of f/n~-~(~~~} , that I am filing
-~i~ day in accordance and in conformity with Section ~~T;'FIoriaa ~tatutes.
=~R DQhlICILZARIES OF THE STATE OF FLORIDA:
_`~ereby declare that Z reside in and maintaih a place of abode at ~~~ X: ~/iZ- ~1~i~ .
street an nu er .
'_c ~~, l. (,F ~ , in ST. ~~UC I E County, Florida, which place of abode I
city~
:~~cxnize and intend to maintain as my permanent home and, if I maintain another place or
-:aces 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 heme,
~-:~ I intend to continue it permanently as such. I am, at the time of making this declara-
-:on, a bona fide resident of the State of Florida residinq at ~ 1 ~ ~}~( .
stre t an nu ~
~ S~ ~t~ C~ E , in -~-_ ~~ ~r County, Florida. I formezly resided at
cs~' ~
~ •;~ ~e. . County, ~ic~~~~ ~Q~ ~, ~ , and the
city state
=:oce or places where I maintain another or other place or places of abode are as follows:
~ere list street address, city, county and state•of any other place or places of abode.)
= rC~~!E I- RES 1 DENT ON THE 1~ DAY OF ''~ <'~ ~ lq "~
, v .
~
~ ~' L~ , / ~1- ti
s nature
__rr. to and s:ibscribed before me this ~_ day of ~} ~u~~ j,~l , A. Q.••2~~,_.'~-_
ROGER P01 TR~S, CkE~2K C IRCUi~t COlA2T
- ST. LUC i E COUNT~'~; -FL,OF2 I DA `'
`~ _ ~ar~r Public State of F2orida at Large. }~ ~ t' , ' , .
~.~ ~ommission expires BY/ J ~,Q..~._,. ~ ~d l ~~,~,~~~E.PU.t Yi L L E R K
-- ~,.
_.~ DOMICILZARIES OF STATES OTHER THAN T}iE STATE OF FLORIDA: ~U~ ~
_-:ereby declare t at my omzcile is in the State of ~, and that I intend
_~ aenaanent2y continue and maintain my domi~ile in suc state. At the time of making this
._~~iaration I am a bona fide resident of the State of ~- (p,=, ~~~ . My place of
~~~~e vithin the State of Florida, if any, is as follows: Here list street address, city,
_-~ county of place of abode in Florida.)
=erson making declaration may also include such other and further facts with reference to
_.:• acts done oz pezformed by such person which such person desizes or intends not to he
=~::strued as evidencing any intention to establish his damicile within the State of Florida.)
5~1651
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. ~:E-r. rr'^°~:' •.~:.~~i \ signature
-~~rn ta and subscribed before me this ,~~ day of 1~~~,~,--L~, ~ , A. D. 19_~.
.==ary Pub ic State of Flori a at Large.
": C~aission expires
n~-~351 i~a~E~~4