HomeMy WebLinkAbout1052516543 ~ ~
. DECLAWITION OF DOMICILE ~
To the Clerk of the Circuit Court [County Comptroller] ST. Ll1CIE County, Florida.
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This is my declaration of domicile in the State of ' , , that i am filing
this day in accordance and in conformity with Section ., or da~`tatutes.
FOR DOMICILIARIBS OF THE S~'AT8 OF FLORIDA:
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i hereby declare that I reside in and maintain a place of abode at ~$ ~ G c ~~.
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~l;t,~i-~~~.s~ ~~ , in ST, L 1 E County, Florida, which place of abode I
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recognize and intend to maintain as my permanent home and, if I niaintain another place or
places of abode in some other state or states, Z hereby declare that my above-described -
residence and abode fn the State of Florida constitutes my predominant and principal hcme,
and I intend to continue it permanently as such. I am, at the timm~ of m ~ynq eclara-
ti~n, a bona fide resident of the State of Florida residfnq at ~ brs~~t'' •
rstreet an n r
` , in ~ `, County, Florida. I formerly resided~at
., ,~~, County, , and the
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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.)
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Sr~orn to and subscribed before me this lQday of T~ ~./l ,~,~`1~~tu s
~ROGER PO I TRA S, f.~~~y ,, i
~,~. LUC I E COUNTY,~~1~.~
Notary Pu~1ic State o~ Florida at Large.
t~y Commission enpires .
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~.T1F~CLERK
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FOR DOI~lICILIARIES OF STATES OTBER THAN THE ST~TE OF FLQR~: ~ ~
er y ec are t at my omic le s in e State of and that I intend
to permanent2y continue and maintain my domicile in sucb state. At trie time of making this
declaration I am a bona fide resident of the State of . lrly place of
abode within the,State of Florida, if any, is as follows: CHere list street address, city,
and county of place of abode in Florida.) ,
(Person makinq declaration may also include such other and further facts with reference to
azy acts done or performed by such person which such person desires or intends not to-be
construed as evidencinq any intention to establish his danicile r+ithin the State of Plorida.) ;
516543
1981 F"~ 10 P~f 3 02
FILEG ~N[ ~`. CU~ ~.c .
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CIER!( CIrCU~i CC".'~; ~
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sworn to and subscribed before me this day of
clotary Pu~1ic State o~ Florida at Larqe.
~y Commission expires .
, A. D. 19
g.~ 348 P~v~ 1052
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