HomeMy WebLinkAbout2738517432
DECLARATION OF DOMICILE
To the Clerk of the Circuit Court [County Comptroller)
~ ~tk ~ TASK E~.~
~ ~-t.e ~c.: /~ ~-w
iqnature
This is my declaration of domicile in the State of L OR ip ~ , that I am filing
this day in accordance and in conformity with Sectiori ~. , F ori a tatutes.
FOR DOMICILIARIES OF THE S~ATE OF FLORYDA:
I hereby declare that I resfde in and maintain a place of abode at ,~ 7l0 -.~~,,~~ (>s 7
~CE P~~ r~ ~ street an n er ~
, in S T. Ll1CIF' County, Florida, which place of abode I
city -
recognize and fntend to maintain as my permanent home and, if I 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 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 residing at a 7~ c~ S~-~,..~ U.-g
ff P~e v« (street an numbe~~
, in S~ ,Cv~ /r County, Florida. I formerly resided at
city ~
~ief1NA V!E~•1 .__ IJPTON~~ S~ Mic~S+~yy~"G County, ~~fi0os . GJ.L , and the
city state
place or places where I maintain another or other place or places of abode are as follows:
(Here list street adc~ress, city, county and state of any other place or places of abode.)
BECAME A RESIDENT ON THE ~ OAY OF Ll4KvqK ~ 19 &/ .
~ ~ COU/yl`
. c
r VJ\-'. '
~ :O
~ : Q~~')) : G
~' ~^- !')~. '~
~G`}..'=.t'hE,R~.': Q\OP
'E COU111Y. F~~~
Sworn to and subscribed before me this ~
Notary Pub ic Stat~ o Flori a at Large.
My Commission expires
FOR DOMICILIARIES OF STATES OTHER THAN T~ STATE OF
COURT
CLERK
1=,~~C~Y aeciare Lnac my aomicile is in the State of~.J -- and that I intend
to pera~anently continue and maintain my domicile in suc state. At t~ie time of making this
declaration I am a bona fide resident of the State of • My place of
abode within the State of Florida, if any, is as follows: Here ist street address, city,
and county of place of abode in Florida.)
(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 evidencing any intention to establish.his domicile within the State of Florida.)
51'7432
1981 FEB 19 A~; ~- 23
~
_ - :,,.. .
•.
sworn to and subscribed before me this
*~otary Pu ic State o F ori a at Large.
My Commission expires
day of , A. D. 19~~ .
ROGER P017RA5, CLERK C IRCUI T
ST. LUG I E COUNTY, FLOR ! DA
.
. Btr - cs. DE Put r
,
ST. LUC I E
~/
County, F2orida.
f-~'-C ~~r «:u~r:t„
S~.LtiCIL CCJNiY.t:,~..
H~G~R PGiTR/.S
Cl.Ef:K ~~rC',il C~U : v
. _ - , . ~t
signature
day of , A. D. 19
gnnK 348 PaGE ~~F1
~
x
~. ,
~ ~ .
~~= '~ °~y~~-~ ~,~ _:. . ~=~:`~`