I have been a bona fide resident of the State of Florida since the ____ day of. , _____. Date. Month. Year. 2.COMPLETING THE FORM: Line (1). Fill in your current address. Next, provide your previous address and any other residence locations. You can obtain a Declaration of Domicile form at the Records, Taxes and Treasury Division, Broward County Governmental Center Room 114, 115 S. Andrews Ave. Choose your county below for a downloadable Declaration of Domicile for Broward County, Miami-Dade County, Palm Beach County, or Collier County.