Get TX VS-180.1 2008

Titus DECLARATION AND REGISTRATION OF INFORMAL MARRIAGE County Texas Sec. 2. 009 of the Texas Family Code requires the applicants for a marriage license to provide the information on this form including their social security number. A county clerk may not registrar a license unless all information is provided on this application* Please PRINT your responses carefully and accurately. First Name MI Date of Birth mm/dd/year Age M A N Social Security Number Last Name Place of Birth city County Telephone Number Street Address number name City State/Foreign Country we agreed to be married MM/DD/YEAR E-mail Address I solemnly swear or affirm that we the undersigned are married to each other by virtue of the following facts On or about Suffix After that date we lived together as husband and wife in this state We 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* Zip Code The other applicant is not related to me 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 or by adoption* This declaration is true and the information in it which I have given is correct. Applicant Signature WARNING THE PENALTY FOR KNOWINGLY MAKING A FALSE STATEMENT CAN BE 2-10 YEARS IN PRISON AND A FINE OF UP TO 10 000. HSC SEC. 195. 003 WOM A N Maiden Surname if different OFFICE USE ONLY Subscribed and sworn to before me on VS-180. 1 REV 9/2008 MAN IDENTIFICATION TYPE ID age County Clerk County Texas by LICENSE NUMBER EMR 000000000. A county clerk may not registrar a license unless all information is provided on this application* Please PRINT your responses carefully and accurately. First Name MI Date of Birth mm/dd/year Age M A N Social Security Number Last Name Place of Birth city County Telephone Number Street Address number name City State/Foreign Country we agreed to be married MM/DD/YEAR E-mail Address I solemnly swear or affirm that we the undersigned are married to each other by virtue of the following facts On or about Suffix After that date we lived together as husband and wife in this state We 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* Zip Code The other applicant is not related to me 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 or by adoption* This declaration is true and the information in it which I have given is correct. First Name MI Date of Birth mm/dd/year Age M A N Social Security Number Last Name Place of Birth city County Telephone Number Street Address number name City State/Foreign Country we agreed to be married MM/DD/YEAR E-mail Address I solemnly swear or affirm that we the undersigned are married to each other by virtue of the following facts On or about Suffix After that date we lived together as husband and wife in this state We 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* Zip Code The other applicant is not related to me 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 or by adoption* This declaration is true and the information in it which I have given is correct. Applicant Signature WARNING THE PENALTY FOR KNOWINGLY MAKING A FALSE STATEMENT CAN BE 2-10 YEARS IN PRISON AND A FINE OF UP TO 10 000. .