Declaration Of Domicile Form – Fill Out and Use This PDF

Write the County on the line in "To the Clerk of the Circuit Court (County Comptroller) County, Florida."

This form is for domiciliaries of the State of Florida.

After "I hereby declare that I reside in and maintain a place of abode at:", enter the Street and number and the City and County.

If you maintain another place or places of abode in some other state or states, you declare that your residence and abode in the State of Florida, the place of abode you enter after "I hereby declare that I reside in and maintain a place of abode at:", constitutes your predominant and principal home, and you intend to continue it permanently as such.

You are, at the time of making this declaration, a bona-fide resident of the State of Florida residing at the Street and number and City and County you enter.

After "I formerly resided at:", enter the Street and number and the City and County, Florida.

Sign on the Signature line and write your name on the Print Name line.

The Notary Public fills in the line "Sworn to and subscribed before me this day of" and signs.

The Notary Public signs on the Signature of Notary Public, State of Florida line and prints, types or stamps the commissioned Name of Notary Public.

Check One: Personally known or Produced Identification; Type of Identification Produced is for the identification produced.

The Declaration of Domicile is a declaration of domicile in the State of Florida that you are filing in accordance and in conformity with Section 222.17, Florida Statutes. The place of abode is one you recognize and intend to maintain as your permanent home.