HomeMy WebLinkAbout11925;~1'740
DECLARATION OF DOMICILE
~ the Clerk of the Circuit Court (County Comptroller~
ST. LUC 1 E
U ~
County, Florida.
~~.is is my declaration of domicile in the State of ~-L ~'•/'/~r~- , that 1 am filing
~:~:is day in accordance and in conformity with~Section ., F ori a tatutes.
:;;F DOMICILIARIES OF THE STATE OF FLORIDA:
: hereby declare that I reside in and maintain a place of abode at ~ y,
street an n er
~- , , in S T. L UCIE County, Florida, which place of abode I
city
-.,>cognize 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 home,
::~d I intend to continue it permanently as such. I am, at the time of m ing this d lara-
~_on bona fide resident of the State of Florida residing at /~'Q$ /~ryZO./il d~.
~ street an num r
~ ~ , in ~~ , L~rCi f County, Florida. I formerly resided at
ci y ''~ • . ~
_~~soNV.t Q . 1)v ~f a~ County, ~ ~ , and the
city state
;~:.ace or places where I maintain another or other place or places of abode are as follows:
iF?ere list street address, city, county and state of any other pla~e or places of abode.)
~EC~ME A RESIOENT ON THE I DAY OF ~c ~~Valy ~ 1~ ~~
~1 ~ (A ~~ ~. ~y~N ~ ~Y
;w~rn to and subscribed before me this~--~~
':-:.~ary Public State of Fl~rida at Large.
";~ Commission expires .
J
/ . ,
signature _ `,~~~~~ni~„`~~1;.~,
. ~~~~ +,'~ ~'<. ~~,~~
_~^: _~r.
day of `%~ 2'f~-?~ , A~D~. 19•~.~ ~~.,~;~
ROGER P01 TR p S,' ~E RK C I RCU l ~l`. COUR T
ST. LUC I E COU ~: ~LbR~10A~.~. ~
' ~ =_ i, • ~~3; ~
B7-~7>>i~1c_~llc'~ .•~' '~'PUTY CIERK
-~~TR' r-
4~ A 1 •
'^R nOMICILIARIES OF STATES OTHER THAN :'HE STATE OF ~F'LORI-LfA: ' -"'~•~~.,
a ~__
= 7ereby declare t at my domicile is in the State of and that I intend
_c permanently continue and maintain my domicile in suc state. At the time of makinq this
'_eclaration I am a bona fide resident of the State of My place of
a~ode within the State of Flori~a, if any, is as follows: Here ist street address, city,
and county of place of abode in Florida.)
'?e:son making declaration may also include such other and further facts with reference to
_._: acts done or performed by such person which such person desires or intends not to be
~-.:,strued as evidencing any intention to establish his domicile within the State of Florida.)
5~1'74U
i9~:i ~'i,? 2~ ~~~~, ~:I~ 17
. :; :C RMt ~: t:Or: f ~
' :, (-1~ CCU~ Y.tl ~
1 `(~u: ;i !'GtIR%C' ~
^ ,~ .. :t!:T C~ ~
:~~aorn to and subsc~ibed before me this
~:otary Pub ic State o Flori a at Large.
";• Commission expires .
signature
day of , A. D. 19
~i~c ~cJ~. p~t ~~