Affidavit Of Absent Applicant For Marriage License Form

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Affidavit of Absent Applicant for Marriage License, Denton County, Texas
Name:_________________________________________________________________________________________
First
Middle
Last
Maiden Surname
(If applicable)
Address:_______________________________________________________________________________________
Street Name and Number
City
State
Zip code
Date of Birth:_________________________________.
Month
Day
Year
Place of Birth:______________________________________________________________________
City
County
State
Citizenship: _____________________ Social Security Number:______________________________
I have not been divorced within the last 30 days. True____ False ____
I am not presently married and the other applicant is not presently married. True____ False____
I am married to the other applicant and we wish to marry again. True_____ False______
I am not presently delinquent in the payment of court-ordered child support. True_____ False_____
The other applicant is not related to me as: an ancestor or descendant by blood or adoption; a brother or sister, of the whole or
by half blood or by adoption; a parent’s brother or sister of the whole or half blood or by adoption; a son or daughter of a brother
or sister of the whole or half blood or by adoption; a current or former stepchild or stepparent; a son or daughter of a parent’s
True____ False____
brother or sister, of the whole or half blood or by adoption.
I do desire to marry. True____ False____
The party I desire to marry is: _____________________________________________________________________,
First
Middle
Last
His/Her Age: _________, Address:__________________________________________________________________
Street Name and Number
City
State
Zip Code
Approximate date of marriage: __________________________________
Month
Day
Year
Reason applicant is unable to appear personally before the County Clerk for the issuance of the marriage license:
__________________________________________________________________________________________
If the absent applicant will be unable to attend the ceremony, the adult appointed (can not be the other applicant) to
act as proxy for the purpose of participating in the ceremony will be:
(Only one proxy can be listed. Proxy listed cannot be changed once form is signed.)
__________________________________________________.
First
Middle
Last
_______________________________________________________________
Signature of Absent Applicant
Subscribed and sworn to before me on,
______________________________________, 20______.
______________________________________________________________.
Notary Public
___________________________________________________County, Texas
(This affidavit expires 30 days from the date notarized)

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