Declaration of Domicile (F. S 222.17), This form is used as a sworn affidavit as of one's intent of residency.At the time of making this declaration I am a bona fide resident of the State of ______. My place of abode within the State of. Choose your county below for a downloadable Declaration of Domicile for Broward County, Miami-Dade County, Palm Beach County, or Collier County. Download and complete the Declaration Of Domicile Florida (PDF) form. ❑ Declaration of domicile in Florida. ❑ Document evidencing family ties in Florida. In the first blank space on the form, under which appears (date of arrival), write the date you first moved to Florida to live permanently. 4. This uniquely designed beach cottage features all natural cypress molding and finishing, an upper loft sitting area with futon, a spacious living room.