HomeMy WebLinkAbout0316 1021785
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;,~DOUDI.A9 DIY.C?N
Acld Fce = LuCie Cc~unty
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Total = J,~~~.,~,r D~'?uty (;~cck
DECLARATION OF DOMICILE
STATE OF FLORIDA ~
COUNTX OF ST. LUCIE
This is my Declaration of Domicile in the State of E'lorida
that I am filing this day in accordance and in conformity with
SECTION 222.17, Florida Statutes.
8X ( We I Sab~do, Virc~j > i o D t~ n~r,~ ~
(please print your name clearly) 1982 (Dyna Sabado)
became a bona fide resident of the State of Florida on1988 (Virgi,lio Saba~
19 and I reside at 1705 Coronado Avenue •
in the City of Ft. Pierce, FL 34981 .
My :nailing address is: sam ~ •
(if different from street address>
[y~u f~y mar 2 a:+~ 1 ro~ i-L.~ n~ a.__ t
j . it.yYi .....:,3u~,^,.^.~ 'v:o~ .ii~ ~.~~c ~.l.~.y ut ~
State of Phillippines •
(No further statement is required. However, if you wish, you may
insert any pertinent facts such as sale of property or business
or relinquishment of employment at former domicile, removal of
family to new domicile, purchase of home, etc. > ~p~ 26 P3
1021785
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~ I F'URTHER CERTIFY that I will comply with all requirements
I of a legal resident of this State. I underst~nd there is a
~ penalty. for perjury; perjury is a felony and is punishable by
9 incarceration in the State Department of Corrections.
~ vir ilio D. Sabado ~ •
~ PRINT NAME SIGNATU~RE ~
Dl ~l[t ~ . C1.W'i~ L~~
Dyna A. Sabado
~ PRINT NAME SIGNATURE
~
~ Sworn to and subscribed before me this ~g_ day of ,I,,in»a~r .
~
~ 19 90 .
~ -
~ DOUGLAS DIXON, CLERK OF CIRCUIT COURT ,.~.'~',_'Tf`:~,.,, -
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BY . ~J l~ - J r =
• ' :jr =
• Deputy C 1 erk ~ ' ~
, ~ l~ ( S~A~~'k,'•., t ~
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- . .
NOTARY PUBLIC, State of Florida
k tM.'.T~.4r p;~gt.IC STATE OF FLORIDA
~ N.•,+ ~r. ,r. ;c;~~• ~ ~3CT.13,1993
~ MY COMMISSION EXPIRES ~ .,r E..v
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