Affidavit Of Marriage
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1AFFIDAVIT OF MARRIAGE
STATE OF
COUNTY OF
In order to secure the health benefits of
for my
partner/spouse, I swear that the following things are factual and true to the best of my
knowledge:
That I,
cannot find my original,
official marriage certificate after due diligence, or that the original certificate has been
damaged beyond repair.
That on the date,
/
/
in the city of
,
in the county of
, in the state of
,
I legally and ceremonially married/entered into an official domestic partnership with
.
AFFIANT
Subscribed and sworn to before me
this
day of
20
(Notary Public),
County.
My commission expires
20
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