Filing # 158443695 E-Filed 10/03/2022 10:55:27 AM
***ELECTRONICALLY FILED 10/03/2022 01:46:56 PM: KEN BURKE, CLERK OF THE CIRCUIT COURT, PINELLAS COUNTY***
Case Number:22-010189-ES
there is a change in 'my residence address, street address, ormailing address.
'
6.
{I
Izhereby designate N. MICHAEL KOUSKOUTIS, ESQ, who is a member of The
Florida. Baf, who is.
a resident of PINELLAS County, Florida, Whose office address is 623 E.
TARPONAVENUE, TARPON SPRINGS, Florida 34689 and Whose post office address is 623
E. TARPON AVENUE, TARPON SPRINGS, Florida 34689 as my agent for the service of
process 0r notice in any action against me, either in my representative capacity, 0r personally, if
the personal action accrued in the administration of the estate. »
NAgtpr GORBY
Affiant
Sworn to (0r affirmed) and subscribed before me by means 0f Mysical presence
‘or
( )
online notarization, on 3k¥0iyéjg§7é , 2022, by Affiant, Who is personally
known t0 me 0r who has produced FL 54 '
as
identification.
'
muffin”,
" ' '
mm ‘
MW“? mcommsswmuumao
1?; 333 EXPtResmovembena 2026
z’vézgg‘gtg“ WWW g/ignaytfiure
.
Notary Public State of Florida
My Commission Expires: / /"’/é 225°
My Commission Number is: /7‘fl /q9§"7&
ACCEPTANCE
I CERTIFY that I am a permanent resident of PINELLAS County, Florida, and my office
address is as indicated abo/ e. Ihereby acce t the foregoing designation as Resident Agent.
Signed on l
%£fl y ‘,
2022.
g/fl/fééfl/ @M/éféfl; r634
N. MICHAEL KOUSKOUTIS, ESQ.
‘
Resident Agent

OathPers.RepreAndAcceptanceResidentAgent

  • 1.
    Filing # 158443695E-Filed 10/03/2022 10:55:27 AM ***ELECTRONICALLY FILED 10/03/2022 01:46:56 PM: KEN BURKE, CLERK OF THE CIRCUIT COURT, PINELLAS COUNTY*** Case Number:22-010189-ES
  • 2.
    there is achange in 'my residence address, street address, ormailing address. ' 6. {I Izhereby designate N. MICHAEL KOUSKOUTIS, ESQ, who is a member of The Florida. Baf, who is. a resident of PINELLAS County, Florida, Whose office address is 623 E. TARPONAVENUE, TARPON SPRINGS, Florida 34689 and Whose post office address is 623 E. TARPON AVENUE, TARPON SPRINGS, Florida 34689 as my agent for the service of process 0r notice in any action against me, either in my representative capacity, 0r personally, if the personal action accrued in the administration of the estate. » NAgtpr GORBY Affiant Sworn to (0r affirmed) and subscribed before me by means 0f Mysical presence ‘or ( ) online notarization, on 3k¥0iyéjg§7é , 2022, by Affiant, Who is personally known t0 me 0r who has produced FL 54 ' as identification. ' muffin”, " ' ' mm ‘ MW“? mcommsswmuumao 1?; 333 EXPtResmovembena 2026 z’vézgg‘gtg“ WWW g/ignaytfiure . Notary Public State of Florida My Commission Expires: / /"’/é 225° My Commission Number is: /7‘fl /q9§"7& ACCEPTANCE I CERTIFY that I am a permanent resident of PINELLAS County, Florida, and my office address is as indicated abo/ e. Ihereby acce t the foregoing designation as Resident Agent. Signed on l %£fl y ‘, 2022. g/fl/fééfl/ @M/éféfl; r634 N. MICHAEL KOUSKOUTIS, ESQ. ‘ Resident Agent