THE STATE OF
COUNTY OF
AFFIDAVIT OF ABSENT APPLICANT FOR MARRIAGE LICENSE
The form and content of this affidavit is prescribed by section 2.007 of the Texas Family Code.
Name of Absent Applicant (First, Middle, Last, Suffix)
Maiden Surname (If applicable)
Address (Street, city, state, zip)
Place of Birth (including city, county and state)
I have not been divorced within the last 30 days. □ TRUE □ FALSE
I am not presently married. □ TRUE □ FALSE
I am currently married to the other applicant. □ TRUE □ FALSE
I am not presently delinquent in the payment of court ordered child support.
□ TRUE □ FALSE
The other applicant is not presently married □ TRUE □ FALSE
I desire to marry:
I am not related to the other applicant as: □ TRUE □ FALSE
an ancestor or descendant, by blood or adoption;
a brother or sister, of the whole or half blood or by
adoption;
a parent's brother or sister, of the whole or half
blood or by adoption;
a son or daughter of a brother or sister, of the whole
or half blood or by adoption;
a current or former stepchild or stepparent; or
a son or daughter of a parent's brother or sister, of the
whole or half blood or by adoption;
Name of Other Applicant (First, Middle, Last, Suffix)
Maiden Surname (If applicable)
Approximate date on which the marriage is to occur
Address (Street, city, state, zip)
The Reason I am unable to appear personally before the county clerk for the issuance of the license:
THE FOLLOWING SECTION CAN ONLY BE COMPLETED BY MEMBERS OF THE ARMED FORCES OF THE UNITED
STATES STATIONED IN ANOTHER COUNTRY IN SUPPORT OF COMBAT OR ANOTHER MILITARY OPERATION
WHO ARE UNABLE TO ATTEND THE CEREMONY:
Name of adult person, other than the other applicant, to act as proxy for the purpose of participating in the ceremony:
I SOLEMNLY SWEAR (OR AFFIRM) THAT THE INFORMATION I HAVE GIVEN IN THIS DECLARATION IS TRUE
AND CORRECT. I AM AWARE THAT MAKING A FALSE STATEMENT ON THIS DOCUMENT IS PUNISHABLE TO UP
TO 2 TO 10 YEARS IN PRISON AND UP TO A $10,000 FINE [HSC §195.003]
Your Signature:
Date:
Subscribed and sworn before me on:
Expiration date of Commission:
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