HomeMy WebLinkAbout1998 • .
STATE OF FLOR IDA i~ 2 i~ 0 2 .
COUNTY OF ST. LUCIE .
7his is my Declaratioct Dcxaicile in rhe State of F~.orfde che~ I em f~ling t
day in accordence aod itt.aottto~aity rith SECTION 222.17~ Florida Statutes.
I, cwe), c~ i
~
. ~ p eeee pr a• your naaae c eer y
.became~a bona f~de resident og the State~oF Florida on ,~~/L-o?$ig~
•and I resfde at % `lgo~ cS'~ ~~=/c!=!~ ~
~ in the Ci ty of C~~ ~ S r' ~ Q~ 3
My mai~ing address 3st 1~ S ~ Qd '
(il d#f eren rom stree a rese
My f ora~er Iegal residence vae in the Cf ty of ~ t~ t/~=~ ~!-~~.~1~~;
~,v
state of - /~G ~~/V.~ ~ -
~ .
(No further statemenE~~is~required. However, if you wfsh, you may fasert a~y
pertinent faets such. as 8ale of property or business or re~.inQuishrnent of
employment at forroer domicile, removal og Family to t~ew domicile, purchase of
home, eic.) ~ ~ ,
~~r
Y FURTHER CERTIFY I vill comply with ell requirements of a legal resfdent ~
this State. I underst8~d there is a penalty,for gerjury;perjury is a Felony
and~is punishabZe by fnceration in the State DepartmenC of Corrections.
. ~ ~
/y1l~~~~/F'Y ' L N~Gc'`-/ ~
PRINT NAME ~ SIGNA RE
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' I
PRINT NAME ~ SIGNATURE .
Svorn to end subscribed -bafore me this c~ 3'~~ day of G:.~. , 19 o
~
~,-~~JG~.AS GLB~C CIRCUIT COURT ~
~
,
eputy er ,
RLCORDING INFORMATION
;votary Pubiic, State of 10 212 0 2
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N1Y Ccrrmis$iori F~Cpires: _ _ . . .
. -'90 ,~?~124 P 3 :34 ~ .
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Add Fee i----,~,_Bt L.dcte Co~m~
Doc Tas o it Coa~t
Int Tas i
~,a~~ _ ~ Deputy Clet3~
. . . ~ . . ~ ~ so~ 67~ P~Ei998 .
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