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O. Box 698 Green Cove Springs FL 32043 904-269-6302 DECLARATION OF DOMICILE TO THE STATE OF FLORIDA AND COUNTY OF CLAY with Section 222. 17 Florida Statues. I was formerly a legal resident of please print name and I resided at however city and state street address I have changed my domicile to and am and have been a bona fide resident of the State of Florida since the day of 20. I now reside at Clay County Florida and this statement is to be taken as my declaration of actual legal residence...
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