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. COMPLETING THE FORM: Line (1).Fill in your current address. It contains vital information such as the individual's name, date of birth, and place of birth. Next, provide your previous address and any other residence locations. PROOF OF RESIDENCE (Domicile). To ensure that you are using the appropriate form and that it is completed correctly, The Clerk recommends that you seek legal counsel. Choose your county below for a downloadable Declaration of Domicile for Broward County, Miami-Dade County, Palm Beach County, or Collier County.