HomeMy WebLinkAbout1997 ' . ' r ,
STATE OF E'LOR I DA 10 ~ 12 0 i ~
COUNTY OF ST. LUCIB . . ~
This is my Oeclaratiott Domiaile ia t?ae State oF Floride thet I em fili~g tl
day in accordence and in.aonFoi~aafty vitb SECTION 2~2.iy; Florida Statutes.
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. t saee pr n•your neme c ear y
. became~a bona tide reaidettt of the State ot~ Florfda ~an M,r4Y ~~,_29t'1 /
•and I reside at z Z-~'o S. ,t= ~isoiy C'i.~PC
~ in Che Ci ty of ~o ~T S T~ c~C~ . FL s~~'~r3 ,
My mailing addres9 iss ~
eren roaa 8 tree a rese
My f ormer Ie~al residence vae in the Ci ty oF M ~9 n~~; i n~Sv! ,
S t a t e o f_,,,~~,~? 1,~iy
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(No further statement~ is•required. However, if you wish, you mey insert any
pertinent faets such.as •ale oE property or buainess or relinqufsha~ent of
' employment at ~ormer daoicile, removel of family to r?ew domicile, purchase oE
.
~ home, etc.~ . ~
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_vc..,,,-- f~r ~~._r ~ , r .4 no.~~ ss Y ~ ! 1 ~P~ ~r~o
` ~ ~!~~..1~~( ' .N~ ~i c' r ~ ~r ~r7 A~ ~ 3 ~~9 . ~ __.._...r_
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~ I FUItTHE1t CERTIFY I vixl coaply vith ell requfrements of a leg~l resfdent ~
~ this State. I underetencl there is a penalty far per~ury;~erjury is a Felony
and~is punishable by fnceration in the State Department of Corrections.
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PRINT NAME ~ SI6NATU
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PRINT NAME ~ SIGNATURE .
SWOrn to and subscri~ed -before me thie ~_day of i9 ~
DO D ~ CIxCUIT COURT
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eputy er
RECORDING INFORMATION
rsotary Public, state of ~ ~ 021 x 41
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r~ry cam,issi«i ~cpire"s: . . . • '90 ,1AN 7A P 3 :33 ~
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y ~ Add F~e S St. Lucie County
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