FOR THOSE REPORTING ONE YEAR AFTER THEIR MARRIAGE, KINDLY ACCOMPLISH THE AFFIDAVIT BELOW:
AFFIDAVIT FOR DELAYED REGISTRATION OF MARRIAGE
WE/I, ______________________________________________________ both of legal age,
and with residence and postal address at ___________________________
after having been duly sworn to in accordance with law, do hereby depose and say:
1. That We/I are/am the applicant for the delayed registration of marriage of
______________________________ and _______________________________.
2. That We/ I were married on __________________________________________
3. That at the time of Marriage I / he / she/We am/is/was/were a Filipino Citizen/s
4. That the reason for the delay in registering our/my marriage was due to
Signature over Printed Name Signature over Printed Name
SUBSCRIBED AND SWORN to before me this _____________________ day of
______________________, 20 __ in the City and County of Los Angeles, California, U.S.A.
insert day in numbers (ex. 23rd)
place where you signed affidavit