HomeMy WebLinkAbout0938 DECLAR~ITION OF DOMICILE 5~29 ~ /
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To the Clerk of the Circuit Court (County Comptroller) ~'i' _?~r~Er______ County, ~lorida.
This is my declaratian of domicile in the State of ~L.oiz~oA , that I am filing
this day in accordance and in conformity with Section F ori a Statutes.
FOR DOMICILIARIES OF TNE STATE OF FLORIDA:
I hereby declare that I reside in And maintain a place of abode at 230~ ~~~N .
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T~.~L~~ , in S~t' ~~C.~E Caurity, Florida, which place of abode I
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recognize and intend to maintain as my permanent home and, if I maintain another p~ace 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 Z 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 residinq at 23ot Gowi+~
street an nu • er
`R,~, S.~ Lu~E , in ST. t-~x-~€ County, Florfda. I formerly resided at
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_-_S.~-!.L l~i4~rnGr7 rYl ~a t~-c ~ hS CountY. ~Lt~~t W , and the
city~ ~state
place or places where i maintain another or other place or places of abode are as follows: ~
(Here list street address, city, county and state of any other place or places of abode.) ,
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I took up pe~ent residaice in ~ ~ c7 ~ w S.~n~~ 2y c ruit name) .
the state of Florid~a on 8-~S- 8 Z~ . • ~P
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Swo:n to and subscribed before me this day of QC(. , A. D. 19~.
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w *~ota?z`y- ~~tate o F ori a at Larqe.
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i:OR DOMICILIARZES OF STATES OTHER THAN THE STATE OF FLORIDA:
~ 1 hereby declare that my domicile is in the State of and that I intend
F~-o permanently continue and maintain my domicile in suc state. At t e time of making this ~
s dF=claration I am a bona fide resident of the State of . My place of ~
~ a~~o~e within the State of Florida, if any, is as follows: Here ist street address, city,
and county of place of abode in Florida.)
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~'F~rson making dec2aration may also include such other and further facts with reference to
ar.y acts done or performed by such person which such person desires or intends not to be
::onstrued as evidencing any intention to establish his domicile within the State of Florida.)
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Swc~rn to ~d Subscribed before me this day of , 19
I~btary Public, State of F}arida gu+~~~ ?A!:r ~7~! 1 `,~D
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