HomeMy WebLinkAbout0913 54~~'66 ~
DgCIJ1R11TTON O~ ~OMICILB
To th~ Clerk of t1~ie CiYCUit Court [Coctnty Canp~roller) ST• L~ County, Florida.
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Thia is ~v declaration of daalcile in the State of , that I a~ filing
this day in accordance and in confosZaity ~rith 8ection . , or a tetutes.
FOR DOMICILI7?R28S O!' THB STATB QF FLORZDAs
1 hereby ~ecl tha I reaide in and maintain a place o~ abode at ~/~Q p h~
s e n r
- ST. LLIGIE County, glorida, vhich place of abode I
c y .
recognise and intend to maintain as ay penaanent home and, if Z maintaLi another place•or
placa~s of aboda iu sane other state or atatea, 2 hereby declare that se~J abave-described
resides~c~ and abode in the &tate of l~lor~da constitutes ~ary? pzedominar~t and grincipal haae,
aad I intend to continue it peneanently as such. I am, at the t 9 cin thia c ara-
tion, a bana fide ree3dent of the State ot llorida reaidinq at /~~~j~~ J~,o
~ ~ ' ~ eet er)-"'"'
~ , in - Caunty, ~lorida. I formerly re~sided at
Y • ~
c ty • Couaty, s a e ~`F-' and tt~e
piaca or plac~es Mhere I maintmin another or other place or glaces of e aze as follows:
(Sere list atreat addreas, city, county and state ~~f aay ottier place or placea of abcde.)
I BECAME A RESIOENT ON THE ~ OAY OF , 19~.
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' tii~~~Mi!pri~t~rr: ,
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I S~+orn to and subacribed before me thia dny of ,'`~,~is `f~ ~~;~j .
~ - R6GER 1 TRA~ COU2T
ST L E CO ' ~
Notary c State o F or at Large. B~ y• _
i~ly C~ission expires ~ . ,~~_Y C~ E R K
FOR DOMZCILZ~iRtES OF STl~TES OT~R THAt~T T~ STATB OF *aA: ~r~~!~i ~ ~ ~
~ ~k-
' ec are ~sy c e a State of ~~t Z intend
to pezaanzntly continu~ and maintain my daaicile in suc ~e. ~ of malcinq this
~ deciaration I am a boaa fide resfde»t of the State of .!!y place of
abode ~eithin t.he State of FZozida, if any, is as follors: ~ere s atreet address, city,
and oounty of place o~ abode in Plorida.)
(Person makinq deelaration may aiso include such other and further ~acts with reference to
any acts ~one or performed by auch perROn ~rhich such person desires or intends not to be
construed as evidencinq r~y intention to establish his danicile ~?ithin the State of ~lorida.)
!9$I AUG ~8 PF~ 2~ 53
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$i 1;:;,i[ C~,NT'! FCA_
RCGER PCITRqg
~ tLERK CIRCUIT COURT Q
pEtGRD YER~FIEO 1
i ~ a/~V I ~ij
M
. s qnature
; Sworn to and subscribed before me this day of , 1~. D. 19
Notary c State o F or a at Larqe.
My Comoaiasion expires .
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