Covenant Marriage Act Form (Page 2 of 2) in pdf

DELCARATION OF INTENT

A COVENANT MARRIAGE – RECITATION

“We do solemnly declare that marriage is a covenant between a man and a woman who agree to live together as a husband and wife for so

long as they both may live. We have chosen each other carefully and disclosed to one another everything which could adversely affect the

decision to enter into this marriage. We have received authorized counseling on the nature, purposes, and responsibilities of marriage. We

have read the Covenant Marriage Act of 2001, and we understand that a covenant marriage is for life. If we experience marital difficulties,

we commit ourselves to take all reasonable efforts to preserve our marriage, including marital counseling.

With full knowledge of what this commitment means, we do hereby declare that our marriage will be bound by Arkansas law on covenant

marriages and we promise to love, honor, and care for one another as husband and wife for the rest of our lives.”

____________________________________________

(Name of prospective spouse)

____________________________________________

(Name of prospective spouse)

AFFIDAVIT

BE IT KNOWN THAT we acknowledge that we have received premarital (or marriage) counseling from a priest, minister, rabbi, clerk of

the Religious Society of Friends, any clergyman of any religious sect, or a professional marriage counselor, which marriage counseling

included:

A discussion of the seriousness of Covenant Marriage; Communication of the fact that a Covenant Marriage is a commitment for life;

The obligation of a Covenant Marriage to take reasonable efforts to preserve the marriage if marital difficulties arise; and

That we both have read this pamphlet, developed and promulgated by the Administrative Office of the Courts, which provides a full

explanation of a Covenant Marriage, including the obligation to seek marital counseling in times of marital difficulties and the exclusive

grounds for legally terminating a Covenant Marriage by divorce or divorce after a judgment of separation from bed or board.

_____________________________________________

(Name of prospective spouse)

_____________________________________________

(Name of prospective spouse)

STATE OF ARKANSAS

)

COUNTY OF __________________)

On this day, before me the undersigned, _______________________________________ Notary Public duly commissioned and

acting within and for the County and State aforesaid, personally appeared

______________________________________ and ____________________________________ to me personally known to be the

identical persons whose names are affixed hereto, and who executed the above Affidavit, and acknowledged that they executed the same

for the uses and purposes therein contained and set forth.

Given under my hand and seal on this _________________ day of ________________________, ________.

________________________________________

Notary Public

(Seal)

My commission expires: ________________________

ATTESTATION for Counselor

The undersigned attests that the affiants did receive counseling from me as to the nature and purpose of marriage, which included a

discussion of the seriousness of Covenant Marriage, communication of the fact that a Covenant Marriage is for life, and the obligation of a

Covenant Marriage to take reasonable efforts to preserve the marriage if marital difficulties arise.

_______________________________________

Counselor

___________________________________

Title/professional credential

Covenant Marriage Act Form Page 2

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