HomeMy WebLinkAbout2841 1023034
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DECLARATION OF DOMICILE T~,.,~li ~J.~....~.--
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STATE OF FLORIDA
COUNTY OF ST. LUCIE
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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
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I, ( We ) Brandish, John C~ Janice H , ~
(please print your name clearly) ~
became a bona f ide resident of the State of Florida on october , ~
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i9 ~s9 and I reside a~ ~IOI N AiA. Site 79 , '
in the City of Ft Pierce. Fl 34949 .
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My mailing address is: Same • ~
(if different from street address) •
My former legal residence was in the City of Mt Laurel ,
State of NJ ' , j
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(No further statement is required. However, if you wish, you may I
i insert any pertinent facts such as sale of property or business
~ or relinquishment of employment at former domicile, r~moval of !
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family to new domicile, purchase of home, ete.) i
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I FURTHER CERTIFY that I will comply with all requirements
of a legal resident of this State. I understand there is a
penalty. for perjury; perjury is a felony and is punishable by
incarceration in the State Department of Corrections. .
John C Bradish ' / Z--~~ ~
PRINT NAME ~ I(~NATURE ~
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Janice H Bradish - ~ ~ ~ ~ r~ ~ '
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PR3NT NAME SIGNATURE ~
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Sworn to and subscribed before me this 1 day of February
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DOUGLAS DIXON, CLERK OF CIRCUIT COURT
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Deputy Clerk ~ ' ~
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1YV1HKi t~VDL1C, Szate ot rlorida ,17:
FiuT;R'! FC~B~iC ~T'~TE OF FLORIDA ~ ;Stip~
M'1 CC:!'~'S5?~;tl EY?. UCT.13~1993
MY COMMISSION EXPIRES: .
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so~~ 6 / 5 FAGE ~~41
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