Transcription of DECLAR ATIO N O F DOM I CI LE TO TH E STATE O …
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PLEASE USE TAB OR MOUSE. DECLAR atio N O F DOM I CI LE. TO TH E STATE O F FLOR I DA AND. COUNTY O F M I AM I -DADE: This is my Declaration of Domicile in the STATE of Florida that I am filing this day in accordance, and in conformity with Section , Florida Statutes. I, _____ was formerly a legal resident of _____. (Print Name) (City). _____and I resided at _____, however, I have changed my ( STATE ) (Street Address). Domicile to and have been a bona fide resident of the STATE of Florida since the _____day of_____, 20_____. I now reside at _____, _____. (Street Address) (City). miami -Dade County, Florida, and this statement is to be taken as my declaration of actual legal residence and permanent domicile in this STATE and County to the exclusion of all others, and I will comply with all requirements of legal residents of Florida.
CLK/CT 578 Rev. 08/16 Clerk's web address: www.miami-dadeclerk.com DECLAR ATIO N O F DOM I CI LE
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