Application And Affidavit For Marriage License (Applicant A) - County Of Jefferson, Washington
ADVERTISEMENT
1
2License Number:
Application and Affidavit for Marriage License (Applicant A)
State of WASHINGTON
County of Jefferson
I, the undersigned, do solemnly swear or affirm, that the information on this form is true: that I am eighteen years of age or older or
qualify per consent form; I am not afflicted with any contagious sexually transmitted disease, or if so, the condition is known to the other
applicant; that I am not related to the other applicant; and, further, that I do not currently have a spouse or a registered domestic partner
other than the other party to this marriage. Marriage license is not valid for 3 days from date of application and is void if marriage is not
solemnized in the State of Washington within sixty (60) days of issuance of license.
Birth Date __________ Age _____ Birth Place______________________________ (Check One) Male
Female
(Check One) Single
Widowed
Divorced
Under Control of Guardian
Address Present _______________________________________________________________________ County ________________
Address Past Six Months ________________________________________________________________ County ________________
Name _______________________________________________________________________________
Signature X __________________________________________________________________________
Subscribed and sworn to before me on this ________ day of ______________________, _____________
Deputy Auditor/Notary Public _____________________________________________________________
Application and Affidavit for Marriage License (Applicant B)
State of WASHINGTON
County of Jefferson
I, the undersigned, do solemnly swear or affirm, that the information on this form is true: that I am eighteen years of age or older or
qualify per consent form; I am not afflicted with any contagious sexually transmitted disease, or if so, the condition is known to the other
applicant; that I am not related to the other applicant; and, further, that I do not currently have a spouse or a registered domestic partner
other than the other party to this marriage. Marriage license is not valid for 3 days from date of application and is void if marriage is not
solemnized in the State of Washington within sixty (60) days of issuance of license.
Birth Date __________ Age _____ Birth Place______________________________ (Check One) Male
Female
(Check One) Single
Widowed
Divorced
Under Control of Guardian
Address Present _______________________________________________________________________ County ________________
Address Past Six Months ________________________________________________________________ County ________________
Name _______________________________________________________________________________
Signature X __________________________________________________________________________
Subscribed and sworn to before me on this ________ day of ______________________, _____________
Deputy Auditor/Notary Public _____________________________________________________________
ADVERTISEMENT
0 votes
Related Articles
Related forms
Wv/cst-af1 - Affidavit For An Individual Filing A Claim Of Refund For Consumers Sales And Service Tax Or Use Tax
Financial
Form Wv/cst-af1 - Affidavit For An Individual Filing A Claim Of Refund For Consumers Sales And Service Tax Or Use Tax - 2011
Financial
Related Categories
Parent category: Legal