HomeMy WebLinkAbout18745~69~1 `l'
DECLAWITION OF DOMICILE
To the Clerk of the Circuit Court [County Comptrollerj ST. LUC I E County, Florida.
Tt~is is my declaration of domicile in the State of L1.~.C'_/,~~. , that I am filinq
this day in accordance and in conformity with Section 7~~".TT;T~'da3`tatutes.
FOR DOMICZLIARIES OF THE STATE OF FLORI0~1:
Y hereby declare that I reside in and maintain a place of abode at o~ 5~'~ S~ TG'•c./P /~~C~,
~treet and numDer)
;~~R T ST ,~ lJC./~~ • in ST~~UC I~ County, Florida, which place of abode I
(city)
recoqnize and intend to maintain as my permanent home and, if I n-aintain another place or
places of abode in some other state or states, Z hereby dec2are that my above-described
residence and abade in the State of Florida constitutes my predominant and principal home,
and I intend to continue it permanently as such. I am, at the time of makinq this declara-
tion, a bona fide resident of the State of Florida residinq at a 9i .~u/ T~/~/P .
(street and num~
f cR i ~ , in ~T. .C (/C/ ~~ County, Florida. I formerly resided at
c~ ty ~
Q O~/ , ~~ T,~j~ County, -~'s~ -/~!~ , and the
c ty (stat~ej ~ ~
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 de.)
. ,/~f p /t/~ ~ ~O U NTy~
1981 f E3 13 P~1 2= 57
~Ilf ~ ~h( F~ CI~F:: L
Sl. LUCIE LG~'Yi t. F:;•
ROGER PGtTR: 5
CLEPK CI::CU!T C+'' ::'
F:i L"`r; ; `''_'• _ t~
516981 ~
Sworn ~to and subscribed before me this ~ 3~~day of
'Jotary Pu~Yfc State of FYorida at Larqe.
My Commission expires .
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~s-ee29P, /~RK~Ke yAl~Rew'S
~,~;~~~ • A. D. 19~.
ROGER PO I TR A S, CL ER K C I RCU i T COI~t T
ST. Ll1GIE COUNTY, FLORI~a
BY ~ ~~~1~+~~ DEPUTY GLERK
FOR DOMICILIARIES OF STATES OTHER THAN THE STATE OF FLORIOA;
er y ec are- t at my om c le s the State of ~C~j~/p~ and that I intend
to permanently continue and maintain ray domicile in sucn state. At trie time of makinq this
dec2aration I am a bona fide resitient of the State of /= C.,p~~~ ./~ . My place of
abode within the State of Florida, if any, is as follows: (Here~t~street address, city,
and county of place of abode in Florida. ) ~ c~~ SGc! Tvu~ /,~~,/T-~ ~~oiZ i S i~~v e~~
(Person making declaration may also include such other and further 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 daaicile within the State of Florida.)
(siqnature)
sworn to and subscribed before me this
Notary Public State o~ Plorida at Large.
!~y Co~maission expires .
day of
eno 348 Pa~E 1873
, A. D. 19 .
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