HomeMy WebLinkAbout0317 1021786
R~.~. F~p c `T ~ DOISGI ~S Di::t`N
A~?d Fee i-~.~-~-- `S~" LuC10 CC`uill,Y
D.~ Clerk of Circui Cuun
DECLARATION OF DOMICILEt~t~= ~°By
f L~e~uty Cterk
_ ~ ~ata1 S ..SG....~...-
STATE OF FLORIDA
COUNTY OE' ST. LUCIE
This is my Declaration of Domicile in the State of Florida
that I am filing this day in accordance and in conformity with
SECTION 222.17, Florida Statutes.
I ~ { ~ ) Meyer, Heinrich J
(please print your name clearly)
became a bona f ide resident of the State of Florida on Anril 1 ,
19 88 and I reside at 102 N Lima Ct
in the City of Port St. Lucie. Fl 34983 •
My :nailing address is: same -
(i€ different from street address? .
Mv fnr~nr l~r,~l F~~yr~a;~~` _ e-~-. r' r I?~^nLPr
j , iiu i iii ~.ati-. ~.li~~ Vi " ' /
State of W Germany •
(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.)
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1021?86 ~?1
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~ I FURTHER CERTIFY that I will comply with all requirements
! of a legal resident of this State. I underst~nd there is a
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~ penalty, for perjury; perjury is a felony and is punishable by
; incarceration in the State Department of Corrections.
7
~ Heinrich J Me_yer - ~
~ ,
~ PRINT NAME SIGNATURE
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~ PRINT NAME SIGNATURE
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s Sworn to and subscribed before me this 23 day of January ~
~ 19~Q~ .
~
~ QOUGLAS DIXON, CLERK OF CZRCUIT COURT
BY 1,; . .
Deputy Clerk :z ,v •
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~ NOTARY P(IBLIC, State of Florida - ~•.J ~
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lIfl3RRY PL'SLIt SSATE flF FLORI~A , , ~ ~
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~ MY COMMISSION EXPIRES: Mll GON*!ISSIQN EY.P. CCT.13.1493 ~~j"•='~~="'~
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