Get TX VS-180.1 2015-2024

DECLARATION AND REGISTRATION OF INFORMAL MARRIAGE COUNTY TEXAS The form and content of this application is prescribed by section 2. 004 of the Texas Family Code. WARNING IT IS A FELONY TO FALSIFY INFORMATION ON THIS DOCUMENT. THE PENALTY FOR KNOWINGLY MAKING A FALSE STATEMENT ON THIS FORM OR FOR SIGNING A FORM WHICH CONTAINS A FALSE STATEMENT IS 2 TO 10 YEARS IMPRISONMENT AND A FINE OF UP TO 10 000. HEALTH AND SAFETY CODE CHAPTER 195 SEC. 195. 003 Applicant One First Name Middle Name Current Last Name Woman s Maiden Name If Applicable Telephone Number Street Address City Date of Birth Suffix State Place of Birth including city county and state Zip Social Security Number 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 I solemnly swear or affirm that we the undersigned are married to each other by virtue of the following facts on or about we agreed to be married and after that date we lived together as a married couple and in this state represented to others that we were married* Since the date of marriage to the other party I have not been married to any other person* This declaration is true and the information in it which I have given is correct. Applicant s Signature and Date Signed Applicant Two VS-180. 1 Rev* 06/2015 For County Clerk Office Use Only Subscribed and sworn to before me on 20 at am/pm. 004 of the Texas Family Code. WARNING IT IS A FELONY TO FALSIFY INFORMATION ON THIS DOCUMENT. THE PENALTY FOR KNOWINGLY MAKING A FALSE STATEMENT ON THIS FORM OR FOR SIGNING A FORM WHICH CONTAINS A FALSE STATEMENT IS 2 TO 10 YEARS IMPRISONMENT AND A FINE OF UP TO 10 000. HEALTH AND SAFETY CODE CHAPTER 195 SEC. 195. 003 Applicant One First Name Middle Name Current Last Name Woman s Maiden Name If Applicable Telephone Number Street Address City Date of Birth Suffix State Place of Birth including city county and state Zip Social Security Number 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 I solemnly swear or affirm that we the undersigned are married to each other by virtue of the following facts on or about we agreed to be married and after that date we lived together as a married couple and in this state represented to others that we were married* Since the date of marriage to the other party I have not been married to any other person* This declaration is true and the information in it which I have given is correct. HEALTH AND SAFETY CODE CHAPTER 195 SEC. 195. 003 Applicant One First Name Middle Name Current Last Name Woman s Maiden Name If Applicable Telephone Number Street Address City Date of Birth Suffix State Place of Birth including city county and state Zip Social Security Number 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 I solemnly swear or affirm that we the undersigned are married to each other by virtue of the following facts on or about we agreed to be married and after that date we lived together as a married couple and in this state represented to others that we were married* Since the date of marriage to the other party I have not been married to any other person* This declaration is true and the information in it which I have given is correct. Applicant s Signature and Date Signed Applicant Two VS-180. 1 Rev* 06/2015 For County Clerk Office Use Only Subscribed and sworn to before me on 20 at am/pm. .