HomeMy WebLinkAbout2979. / ;~
~ ?
51'75'71
~ DECLARATION OF DOMICILB ~ ,
To the Clerk ot the Circuit Court [County Comptroller~ ST. LUC I E County, Florida.
~'his is my declaration of domicile in the State of ~La~ I DQ , that I aie filing
this day in accordance aad in coaformity with Section 73~:?T '~lortTa $tatutes.
FOR DOMICILIARIES OF THE STATS OF FLORIDA:
I hereby declare that I reside in and maintain a place of abode at ~~ 13 S• ~~~A'~'D FA~ ~oA~
~street anu numberf
~'o e7 z T• ~-- b ~ ~~ , in STy~UC I~ County, Florida, which place of abode I
Cc~tyy
recognize and intend to maintain as my permanent home and, if I niaintafn another place ar
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 hame,
and I intend to continue it permanently as such. I am, at the time of makinq this declara-
tion, a bona ffde resident of the State of Florida residinq at~SJ3 $~ jf~~ DEN Ro~.
street ana n r
~~ ST L~ ~~~ , in ST. ~-V ~~ F County, Florida. I fozmerly resided at
~s ~ s E~c,,E fZv 4~ ~
E K. /~ v i~..~ E ,!_, fI' ~4D ~ a i-, County, ~t~. ~ . and the
Cclty) state
place or places where I maintain another or other place or places of abode are as follows:
(Here list street address, cfty, county and stat~ of any other place or places of abode.)
I BECANE A RESI~ENT ON THE ,~ ~ DAY Of DEC . ~ 19 g0 .
.~~ ,
~~ •~~:~.f r!'~;~'`^
•
1
. •.~r ` . ~: .
.~~ ~.
• ;'~ ' ~ ' ~~
' ~
• '
L ~
!
~/: ~
~ . ~ ii ~
: 1 ~i'
~ .
s -~ ~ f
.
~
i`
• ?~ ,.
~ , ~~.~
~,
. •
- ~
-~.~`,
' ;
~ ~ ,,y
..z ;
~r. ~,~' - ,I
i ,
,
,
_'
~
=
~' ''
~
~~
-:
:r
. ;
Sworn to and subscribed before me this p~ (~ day of
.
Notary_PuriYic State o~ Flozic~a at Larqe.
My Co~nmission expires .
~ ~f~~G. ~c.
~ ,
~~
s qna ure
~
l~. D. 19 ~ ~ .
ROGER POI TRA , CLERK C IRCUI T COURT
ST. LUCiE COUNTY, FLORIOA
BY~~_ - ~~.~. L~•[-~rinDEPUTY CI.ERK
FOR DOMICILIARIES OF STATES OTHER THAN THE STATE OF FLORIUA:
ere y ec are t at my om c e s n the State of and that I intend
to permanently continue and maintain my domicile in such state. At trie time of'ma~cinq this
declaration I am a bona fide resident of the State of . Ny place of
abode aithin the State of Florida, if nny, is as follows: tHere list street address, city,
and county of place of abode fn Florida.) ~
(person makinq declaratiom m~y also include such other and further facts with reference to
any acts done or performed by such person r+hich such person desires or intends not to be
construed as evidencing any intention to establish his domi~ile within the State of Florida.)
51'~5'71
1981 FE3 20 P~; 12~ 00
F~LfC ~Nt ~'st,lir~(°~;1~
ST.IUGI£ GGUNiY.f; A.
ROGER FOITRhS
CLEF.K ~L;C:;(T C`;L~.~
- ~' F: :Ha;1 : } ~: r! °
Csiqnature)
sworn to and subscribed before me this
day of , ~-. D. 19 .
Notary Public State o~ Florida at Larqe.
*~y Commission expires .
B(1JK348 PAGE(.~~7 .
~ ~
~ .6;,z " ~'-s~'~~?•~
~~~ _..~,~. .~ _ .