Florida Declaration Of Domicile - Lake County printable pdf download

Return

After Recording

to:

______________________

DECLARATION OF

DOMICILE

To the Clerk of the Circuit Court [County Comptroller] ________________________County, Florida.

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 Statues.

FOR DOMICILIARIES OF THE STATE OF FLORIDA:

I hereby declare that I reside in and maintain a place of abode at:

__________________________________________________________________________________

(Street and number)

____________________________________________________________________________, Florida

(City and County)

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 herby 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 bona-fide resident of the State of Florida residing at:

__________________________________________________________________________________

(Street and number)

____________________________________________________________________________, Florida

(City and County)

and have been a permanent resident since ______________________________________________.

Month/Day/Year

I formerly resided at:

___________________________________________________________________________________

(Street and number)

___________________________________________________________________________________

(City and County)

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 any other place or places of abode.)

____________________________________________

(Signature)

State of Florida

County of Lake

_________

_________________________________,

Sworn to (or affirmed) and subscribed before me this

Month/Year

____________________________________________________________________.

____________________________________________

(Signature of Notary Public)

personally known ____ or produced identification ____ Type of identification produced ______________________________.

Florida Declaration Of Domicile - Lake County