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~ DECLAIta?TI.ON OF OOMICILL
.
To the Clark of the Cizcuit Court (County Canptrallez] ST. LUGIE County, Florida.
~ This ia my declaration of damicile in the State of ~ • , that I am filinq '
this day in accordance ana in confonaity with Section~'' . , IoritT"a~3`tatutes.
F~R DO!lICILURIES OF THS S~ATE ~F FLORIDJ~: '
` d maintain a lace of abode .:t c~-S i'~
I h e r e b d e c l a r
e t h
a t I r e s i d e i n a n p ~
s ee an n r
, in ST. LlX ! E County, Florida, Mrhich pl.ace of abode I
~ c y
recognize an~ intena to maintain as my perm~nent hama and, if I maintair. another place~or
places of abode in some nthez state or states, I hereby declare that my al~ov~-deacribed
residence nnd abode in the State of Florida constitutes my predom~?inant and prtncipal hame,
and I intend to aontinue it pezmanently ae auch. I am, at the time of kinq this ~lara-
tion, a boa~a fide resident of the S~ate of F2orida residinq at c~S~ .
s reet an n r
, in ~+~~i~'i~ County, Florida. I fozmerly zesided at
c y ~
, County. ~ . a~d the
c ty state • ~
plac or places where I maintain another or other place or places of abode, _ ~60,~.:
(Here list street address, city, county and state of any otl:er place or p~ ~{2
? ~ ` ••y~r' ~
y r I~ ' ~
I ~ ~ . •1 e,•
( BECAME A RES i DENT ON THE ~ DAY OF ~ 19~_,,,. ;
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? r y~ . .41~ ~
Ij ~ 7i 50.~ f • $ _
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s~qnature
Sworn to and subscribed before ~e this~~_ day of , A. D. 19 a
~ ROG P(y 1 TR A S, CL ER K C I RCU I T GOt~2 T
~ ST. LUCIE GOUNTY, FLORIDA
~ Notary c State o F or a at Larqe. ~
F3y cammission expires . 8 t
l~ E P U T Y C L e R K
FOR DQlIICILIARIES OF STATES OT~SR TH!!N TAE STATE OF FLORIDA:
er ec are t my c e a State of ~ ~ and that I intend
to p~rmanently contin•~e and maintain my de~m.i.cil~ in sua
s~i
tate. At t e time of makinq this
~I dec2aration I am a boaa ffde resideat of the State of . My place of
( abode M3.thin- the State of Flori~a, if any, is as follrnrs: ere st street address, -city,
and vounty of place of abode in Florida.)
(Person makiag declaration may also include such other ana further facts With reference to ~
~ any acts done or performed by such person Nhich such person desires or intends n~t ta be
construed as evidencing any intention to establish his do~icile Within thE State of Florida.)
19& AUG 31 1~1 9 53 ~
_ F'~ E ~ tnr «co~ni o
S! t::~if. ~CLMIY f(~
r~c~EH~~~rans ~
CIERK CIRCUIT COUR1
RE~pRD YFRIF~EO
~r
~
~ s gnature
i
Ik
s~+~o~n to aad subscribed before ~ne this day qf D. 19
Notary c State o F or - at Larqe.
?~y Commission expires
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