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Declaration Of Domicile - Florida
| Declaration Of Domicile Form. This is a Florida form and can be used in General St Lucie Local County . |
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Joseph E. Smith Clerk of the Circuit Court St. Lucie County, Florida Official records department 201 South Indian River drive, 2nd floor Fort pierce, Florida 34950 (772) 462-3207 DECLARATION OF DOMICILE STATE OF FLORIDA COUNTY OF ST. LUCIE 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, (We), (please print your name clearly) became a bona fide resident of the state of Florida on , and I reside at in the city of zip code . My mailing address is: (if different from street address) . My former legal residence was in the city of state of . (No further statement is required. However, if you wish, you may insert pertinent facts such as sale of property or business or relinquishment of employment at former domicile, removal of family to new domicile, purchase of home, etc.) 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; and that perjury is a felony and is punishable by incarceration with the state Department of Corrections. Print name Signature Print name Signature Sworn to and subscribed before me this day of , 20 . Notary Public, State of My Commission expires: JOSEPH E. SMITH CLERK OF THE CIRCUIT My Commission number: COURT ST. LUCIE COUNTY, FLORIDA By: Deputy Clerk (seal) Revised 10/3/11 American LegalNet, Inc. www.FormsWorkFlow.com
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