Application To Shorten Period Of Notice Of Intent To Marry Page 2

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PART ONE – Reason for shortening
continued
PAGE 2
2. Statutory declaration
State of Victoria – Evidence Act 1958
I,
,
[Groom’s full name]
of
,
[Groom’s residential address]
,
[Groom’s occupation]
and I,
,
[Bride’s full name]
of
,
[Bride’s residential address]
,
[Bride’s occupation]
do solemnly and sincerely declare that we are requesting a shortening of the statutory period of notice for lodging an intention to marry (one
month) because:
We acknowledge that this declaration is true and correct, and we make it with the understanding and belief that a person who makes a false
declaration is liable to the penalties of perjury.
Declared at
in the State of Victoria,
this
day of
, 20
and
Signature of Groom making this declaration
Signature of Bride making this declaration
[to be signed in front of an authorised witness]
[to be signed in front of an authorised witness]
Before me,
Signature of authorised witness
Full name of authorised witness
Address of authorised witness
Title of authorised witness
The authorised witness must print or stamp his or her name, address, and title under section 107A of the Evidence Act 1958 [Vic.]
List of authorised witnesses over page.

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