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Declaration Of Domicile - Florida

Declaration Of Domicile Form. This is a Florida form and can be used in General Polk Local County .
 Fillable pdf Last Modified 7/6/2011
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DECLARATION OF DOMICILE To the Clerk of the Circuit Court, Polk County, Florida This is my declaration of domicile in the State of Florida I am filing this day in accordance and in conformity with Section 222.17, Florida Statutes For Domiciliaries of the State of Florida: I hereby declare that I reside in and maintain a place of abode at: which place of abode I recognize and intend to maintain as my permanent home and, if I maintain another place or places of abode in some other state or states, I hereby declare that my above described residence and abode in the State of Florida constitutes my predominant and principal home, and I intend to continue it permanently as such. I am, at the time of making this declaration, a bonafide resident of the State of Florida residing at: I formerly resided at: And the place or places where I maintain another or other place or places of abode are as follows: (here list street address, city, county and state of other place or places of abode) _______________________________ Signature Printed name: Mailing Address: Sworn to and subscribed before me this _____ day of _______________. 20__ by _______ _______________________________. Personally known to me ______ _______________________________ Produced Identification ______ Signature of Deputy Clerk or Notary Type of identification Produced _________________ _______________________________ Print, Type or Stamp Name (Clerk or Notarial Seal) American LegalNet, Inc. www.FormsWorkFlow.com
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