Domestic Partnership Declaration

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Declaration of State Registered
Domestic Partnership
See attached detailed instructions
Registration Number:
Filing Fee $50.00
Filing Fee with Expedited Service $100.00
DOMESTIC PARTNERSHIP DECLARATION
Chapter 26.60 RCW
PARTNER 1
Name:
First
Middle
Last
Place of Birth:
City
State
Country
Date of Birth:
Gender:
Male
Female
PARTNER 2
Name:
First
Middle
Last
Place of Birth:
City
State
Country
Date of Birth:
Gender:
Male
Female
ADDRESS
Mailing or Postal Address (optional):
_______________________________________________________________
City __________________________________State
Zip Code ____________
Street Address: ____________________________________________________
City __________________________________State
Zip Code ____________
Domestic Partnership - Declaration
Washington Secretary of State
Revised 07/14

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