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DECLARATION OF DOMICILETo the Clerk of the Circuit Court, Polk County, Florida This is my declaration of domicile in the State of Florida I am filing this day in accordance and in conformity with Section.

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How to fill out the DECLARATION DOMICILE ADULT.doc online

Filling out the DECLARATION DOMICILE ADULT.doc is a straightforward process that allows you to officially declare your domicile in the State of Florida. This guide provides detailed instructions on how to complete the form accurately and efficiently online.

Follow the steps to complete the form online.

  1. Press the ‘Get Form’ button to access the document and open it in a suitable editor.
  2. Begin filling out the form by providing your current residence address in the section labeled 'I hereby declare that I reside in and maintain a place of abode at:'. Ensure that the information is accurate and reflects your permanent home.
  3. Include any other places of abode in the designated section by listing the street address, city, county, and state of each location. This allows the Clerk to understand any additional residences you may have.
  4. In the field where it states 'I formerly resided at:', enter your previous permanent address if applicable, which helps establish your residency history.
  5. Sign the form in the designated area to authenticate your declaration. Make sure that your signature is clear and legible.
  6. Print your name below your signature as required, ensuring it matches your identification documents.
  7. Enter your mailing address in the specified area for correspondence related to your declaration.
  8. Complete the notary section by providing the date, your name, and whether you are personally known to the notary or have produced identification.
  9. After filling out all sections, review the form for any errors or omissions. Make corrections as necessary.
  10. Once satisfied with your completed form, you can save your changes, download it for your records, or print it out for submission.

Get started on your declaration process by filling out the DECLARATION DOMICILE ADULT.doc online today.

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Legally Domiciled Beneficiary (LDB) You may designate coverage for either a spouse or one legally domiciled beneficiary—not both— in the medical, dental and vision plans. So, if you enroll an LDB in medical, you can't enroll your spouse in medical.

Spouse/Legally Domiciled Adult (LDA) (B) is the employee's blood relative who meets the definition of his or her tax dependent as defined by Section 152 of the Internal Revenue Code during the coverage period and is neither receiving benefits from an employer nor eligible for any group coverage.

Domicile refers to someone's true, principal, and permanent home. In other words, the place where a person has physically lived, regards as home, and intends to return even if currently residing elsewhere. Determining where a party is domiciled is of particular importance in the field of civil procedure.

What coverage is available for my Legally Domiciled Adult (LDA)? Both Category A and Category B LDAs may be covered under your medical, dental and vision plans. Category A LDAs are also eligible for the supplemental life insurance plan.

For medical, dental, and vision coverage only, an employee may enroll a Legally Domiciled Adult (LDA).

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232