HomeMy WebLinkAbout0939 s~s~.~9 ~ y'
DECLARATION OF DOMICILE
To the Clerk of the Circuit Court [County Comptrallerj ST. l UCIE County, Florida.
This is my declaration of domicile in the Statt of , that I am filing ~
this day in accordance and in conformity with Section F or a tatutes.
FOR DOMICILIARIES OF THE STATE OF FLORIDA:
I hereby declare that Z reside in and maintain a place of abode at /7 ,~t rsir~:Q~
s ree n er~'-
~r~ ,~~~C/~t. , in ST. LUCIE County, Florida, which pla of a e I
city
recognize and intend 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 canstitutes my predominant and principal hane,
and I intend to continue it permanently as such. I am, nt the time of akinq t is eclaza-
tiion, a bona fide r.esident of the State of Florida residing at /7 ~ ,
u,c,c? , in ~ str an r
~oCG[~e.c-~i County, Florida. I f rly reeided at ~
e..~e-~city ,
~ _ . County, , and the
~Clty state
place or places where I mainta n an~ther or other place or places of abode are as follows:
(Here list street address, city, county and state of any o.ther place or places of abode.)-
I BECAME A RESIDENT ON TH~ DAY OF ~ ~ 19 ~
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s' gnatur _ti~.~:; ~
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Sworn to ~and subscribed before me this „Z 3 day of TCGi1 A._~_t'~~9 . , '
II ROGER PO I TRA S, C~ER#~ ! RCU I T~OUR T
' LUC i E COUNTY= , F~~' ~ ~ DA . ~ ~
! `.otary Pu lic State o F ori a at Large. ~s•
; My Commission expires BY _~E.~!q~ C L E R K
.s,
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~ FOR DOMICZLIARIES OF STATES OTHER THAN THE STATE OF FLOR
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k I ereby dec are that my domicile is in the State of and that I intend
to permanently continue and maintain my domicile in suc. state. At t e time of making this
' declaration I am a bona fide resident of the State of My place of
~ ~bode within tne 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 i
any acts done or performed by such person which ssch person desires or intends not to be
construed as e~~idencing any intention to establish his domicile within the State of Florida.)
1931 C~i ?_3 2~ G'~
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~ signature
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~ =worn to and sub~cribed before me this day of , A. D. 19
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';otary Pu ic S ate of Flori a at Large.
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~ ~'y Commission expires
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