HomeMy WebLinkAbout0667 ~~C~~~r~~lt~~~ ~~~~~~i~~~~ ~6~'i~ Ci~~~~.~:~~: ~Et~ ~f '
.
4;30153
,
TO T11E Cl.~RK OF T11F CI1tCUIT COUKT~ ;
i
ST. LUC I E COUNTI', FLOHIDA: ~
;
This is my declar~tion ot Domicile and Citizonship in the State ot Florida that I nm filing thls dt~y in sccordanco. and in `
cu~tonnity with Scciion 2'L2.I7~ Floride Statulcs.
I wAS tc?rmc•rl a icgal rnsident of St. Pdul _ l+iinne s ot a und I ;
(Cit71 lState) ~
resided at 1979 E• I Vy St . . Nowevcr. I havo ~h~ngcd my dornicile to ;
(Street ~ad Number) [
and am and have bcen a bona tide residenl of the St~te of Florida since 29t h dsy of '
E
5306 Palm Dr. ~
December ,19 78 . and I rrsjde at ~g~~t,,,d Number)
Fort Pierce , ST. LUG i E ~G,uo~y, Florida. #
ta~>> .
and this slatement is to be taken as niy declnrntion o[ citizenship, ectual legai msidence and domicile in the SL.1te oi Florida.
IF fOR TNC PURPOSE OF ENROLLING IF' FOR NOMESTEAD PURPOSES~ ~
CKIIDREN IH SCHOOL~ PLEASE STATE PLEASE CHECK: k ~
THEIR NAMES:
None _
FILED AflC RECORDEO' ~
L~.;ClE ~~^U`~TY. FLA.' t
. _ r ~.,':.=~I~ i~~ '
_ _ }
4:30153 i
~
-~z9 ~a~ 9 P~ 3: o o :
- -
J~-"~- i
CLERK C:R~;;! ~ COUr~T ;
~
I
i
I FUKTN(:R CERTIFY that T will registcr al my local address when the re~;istr~tion books reopen. nnd comply with all
other rrquircments ot a legal residenl of this S[ate.
' 1 FURTI3E:i CFRTIF Y thaL I h:lvc no intention to return to m}• former domirile, and I intend to remain in '
p ~p ~ . T. _ U C 1 E _ . County.
ICitr)
~ Florida, rcrmanenti; . ~
; '
~ . ;
~ , .
k .
d ~ g;
: • ` -
~ «~~~~~~~ittt~
t' _
, , G ~-'.fi ~ ~ ^ ~ ~ , :
~ ~
~ ~ ~ f
` c+ • ^ T . ~ ' ~ V
F ~ . - ;;t`v~. - ~i - . s ;
~ ' ? . ~ ~ z ~ ~ {
- - t*_- . -
t.~~ ~
. ' _ ~1 ~ ' ~ ~ .
: a~ ~
~ K~ Gaetano ~ Joanne i~i. Fida ~
~ - - r r- _ :
a . . (Ncmo) ~
~ . 'r , - ' S306 Palm Drive
t
~ ~ (Ad~+reasl ~ -
Ft Pierce Florida 33450 =
- ~ W ; and su!~srrih~~d b~•i~rr rric this _ da.' of • t _ -
~ n.n. •
_ -ag . ,
> ~~R~GE_(l _ p(~ 1_Tf' _ Gt _Et1 fC__ OT C{ RC li i i~ CO~~.Z T ~ _
~ _ _ - - - - - - . ~ ~ i
" I E CC~IS,:TY, F 1_n~t t Ut`, ` ~
µ ST. L.L., ~ -
~ ~
~ E3Y: , ~
~
~ ~ ' ~E t~ U i Y ~ R~?: 3U1 66? ~
, t3 ic ~
t - ~ ~ ~ ~ gnpK i;,~:c
:
~ ~ . ~ f
- - - - - - ~
+xi..3` k~ Y)"_ vF'i`y'~ _ . °:"~p~'~~~ 3: .
~
qr~
~ _
. . . - . - - . s _ a1~. . _ . .