Printable Business Form Templates
Affidavit Of Marriage Business Form Template


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 ____________________.


Subscribed and sworn to before me this ____________________ day of ____________________ 20 ____________________

(Notary Public),

____________________ County.

My commission expires ____________________ 20 ____________________

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