HomeMy WebLinkAbout0318 1Q2178?
Rcc r.,~ c _~p . . . . ,
Add
Dx . . `-u~uit CouR
Int Tar. S
lp ~ x ~~~ty CL~k
Toca1 i - - _
DECLARATION OF DOMICILE
STATE OF ELORIDA '
COUNTY OF 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, MunsinQer, Gabriele
(please print yaur name clearly)
became a bona f ide resident of the State of Florida on october 14 ~
19 80 and I reside at 356 Goforth Bv ,
in the City of Port St Lucie, F1 34592 .
My mailing address is: 5ame " .
(if different from street address)
~Y ie~vn~?~
My former legal residence was in the ~iLy oi ,
State of W Germany .
(No further statement is reguired. 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.) ~ 26 P3~03
102178? 6V~
I t 4 ' ~ r,--
nt~i~r ~ ; :s*,:,.tV
~ _ ~~r~----
S~ LUi.~~ '!N? t
i
~
0
i
° I EURTHER CERTIFY that I will comply with all requirements
@ of a legal resident of this State. I underst~nd there is a
` penalty. for perjury; perjury is a felony and is punishable by
` incarceration in the State Department of Corrections.
F Gabriele Munsin er ~ ;z~
r ,
~ PRINT NAME SIGNATURE t
s
~
~
~
~
~
f
~ PRINT NAME SIGNATURE
~ Sworn to and subscribed before me this 23 day of January ,
~ 19 90 .
~ '
r
.
` DOUGLAS DIXON, CLERK OF CZRCUIT COURT ~
~ . .
. _ _
. , JO ~ ~~r
BY - , ~ ' ~J •,"i, ,
Deputy Clerk « ~ •
' c,sEA~:r ' ~ :
~ _ - ' ; y ~ v •v . .
~ . . , ~
.t , .
~ NOTARY PUBLIC, State of Florida
•
~ ti07ARY W}83.IC STATE OF FLORIDA
MY COMMISSION EXPIRFS: 1993
~ BO;~i;~0 7HRU GEtfERAI IitS. UYD.
~
's
~ aoflK~75 ~A~f 318
~
~ ~ ~
~ .~.e,~_ ~ _3 ; ~ ~