HomeMy WebLinkAbout2758
Declaration of
d:;~" 1 ti PAGfnll~
Domici18 ana 'CItizenship
'. r. diCit CJUNTY. fLA.
TO THE STATE AND COUNTY TAX ASSESSOR.
____~t..t. .l.uci_E!_ ._____COUNTY. FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in accordance.
and in conformity with Chapter 222. Section 222.17, Florida Statutes,
I was formerly a legal resident of
~add1e}-,rook
1: e\-l J ers ey
(51.1.)
(Cily)
and I resided at
45 Grahan Terr&ce
(Streel end Numbe<)
However. I have changed my domicile
to and am and have been a bona fide resident of the State of Florida since
29th
day of
. 19 61 . and I reside at
415 Par~~ay Drive
(SI,..I end N\Hftber)
July
Fort Pierce
St. Lucie County
(Cily)
and this statement is to be to:ken as my declaration of citizenship. actual legal residence and domicile in the State
of Florida.
~t. Lucie
County. Florida,
(1.....1 her. .ny petlinenl f_. wch .. ...1. of property or bualnea.. or ,.Ilnqvl.......nl of employmenl .1 for..... domicile.
.......".1 o' .....lIy 10 new domlclle. purd>eM of home. etc.)
Patricia
Entering Lisa/Fondo age 6 in First Grade
of Public School
\
\
, ,'.C lJj .
.', ........./
. . ~, . , f '. ..
.. ..
\
\.
"
.......
\
/
I
\
~75'76
f\L~e f\t~? rICQ~.')~~ 1
,J);' . ,.1 .IAh...(\ .'\
\\''fI't.CV.~ _. J"
\':0\ I,UG 23 ~11O'. '3[\
-. ,-.,
-..-' ,...
or, : ."
I ;}
/. .... ~-~
" , , : ..
, :
. . ,"
. "
..:.. .:....... .....
\
II.'.' A.
:' llic\( \:'outnt flUi\I,. ~ r/-,
~i. t.~~
I FURTHER CERTIFY tha. I will register at my local address when fn. registration books reopen, and comply with
all other rj'f,rements of a legal resident of this State.
I FUflHERaRTlp( that I have no intention to return to my former domicile, and I intend to remain in_ - -_
. , . , . ~ '# ; . ,.. .' , . .
- - -f ~ ~"~~ J. ..-;~D~ ;~oru'_Pier.ce- - - - -.-
v'.,...~,\,. ,-... '.':?' '.~ IOtyt
perq\a~tl1: /"...".A ..
..: .:;'.-1 ./ . ., ;~ ('~# -..
'4 ! .'0 ..) _: '.~ .' ;-': :"','
: -4(tj~~.: ! .,,:"
:.t:,"~ <~ ~~ ~\ .~' :.:.{;':
"....{Jc;..:..~.." . '.
'" t.: )' J.
_.St.. L.uc.ie..
County, Florida.
~~~~
Michael D. Fondo
(Addr...)
Sworn'let .00 sUbscribed before me this
23rd
AJ1.g\l~t .. _ _ _
__.199l.
_ d,]y of
Notary Public
By ~~IT~~'RCU'IC:~T D.C.
(fe... ........ .. ........ .... ...... .... ..... a.fI a.... c..., .... ...... willi T.. A-J
My Commission expires _
.IICD. n. II.&IIC&