HomeMy WebLinkAbout1140~~
516594
DECLAWITION OF DOMICILB
To tha Clerk of the Circuit Court ~County Caaptroller] ST. LUCIE County, F~orida.
This is my declaration of domicile in tha State ot c~ ~ ., that I am filing
this day in accordance and in confonaity with Sectfon .. , or a tatutes..
FOR DOMICILURIES OF THE STATS OF FLORIDAs
r hereb declare t at I reside in and ma~ntain a place of abode at ~~ ,~ ~(-a~,h~o,~ ,
~ ~ . ~-s~reef and nunieierf
, in ST. Ll1G I E County, Florida, which place of abode I
c y .
recognise and intend to maintain as my permanent home and, if r 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 my predominant and principal hane,
and I intend to continue it permanently as such. I am, at the time o ing s declara-
tion, a bona ffde resident of the State of Florida residfnq a~ ~~ .-Q J .
~ ~~~ ~ . street num~er~
~ , in c~ County, Florida. I fonaerly resided at•
-~ c ty . ~ ~
~, Z , /,~ / County, ~ , and the
• c ty ~ ~ (state) -
place o places Where I maintain anpther r other place or places of abode are as follows:
(Here list street address, city, county an8 state of any other place or places of abode.)
`~~GOUNTyc
~J' ~-'~ ~~~ ~ ~ ~f~ ~ ~~l ~~~~''`-`~
ac : ; ..,~ U
V~ sy ~
J'~,';i4.:~~. .. r~~ s na e
_ F`o M,~V`sr QC
~/`'~ ~cuMtr •E`~ PeTRy K
Sworn to and subscribed before me this 1~~` day of ~<~ .]~. O. 19 ~~ .
, . ROGER P01 TRA S, GL ERK C I RCU I T COU2 T
ST. LuG i E COUNTY, FLOR 1 Oa
Notary Pub~ic State of Floricla at Larqe. -
My Cammission expires . BY_~ ~~ DE P U T Y C L E R K
F`aR DOI~IICILIARIES OF STATES OT~R THPIN TAE STATE OF FLORIOA:
er ec are at my c e s the State of and that I intend
to permanently continue and maintain my domfcile in auch state. At ttie time of makinq this
declaration I am a bona ffde resident of the State of My place of
abode within the State of Florida, if any, is as follovrs: (eere list street address, city,
and county of place of abode in Florida.) ~
(Person making declaration may also include such ott~r and further facts with reference to
any acts done or perfonned by such person ~+hich such person desires or intends not to be
construed as evidencing any intention to establish his domicile within the State of PloriBa.)
516594
19~! FES I I AN !i= 01
(siqnature)
Sworn to and subscribed before me this
day of
fIIEC ~!+i FECOF~~EO
51.LUCIE COUYtY.ft~..
ROGER POITRAS ~
CLERx Cir".CLtT CQUR
. ( . _. -
, l~. D. 19
2Jotary Public State ot FYor~da at Large.
!~y Coauniasion expires .
BO~~J`f~ P1l(~~„~~ .
,_..
'~~.~'~= - ~
.~~.~.~,..~.~.~~; ~ .~.~. :_. _