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Get MO Affidavit Of Absent Applicant And Application For Marriage License - Phelps County 2015-2024

Affirm that the information I have given in this Affidavit of Absent Applicant and completed Application for Marriage License to obtain a marriage license for the State of Missouri is true and correct. STATE OF MISSOURI AFFIDAVIT OF ABSENT APPLICANT AND APPLICATION FOR MARRIAGE LICENSE NOTE THIS AFFIDAVIT MUST BE DATED SIX MONTHS OR LESS PRIOR TO THE PRESENTATION OF THE COMPLETED APPLICATION TO THE RECORDER OF DEEDS. STATE OF SS COUNTY OF Absent Applicant first being duly sworn on this day of 20 on his/her oath states Please print all information Name First Middle Last Social Security No If you do not have a Social Security Number check here Please check one Groom Bride State birth name if different Age Last Birthday Date of Birth Month Day Year o NOTE You must be eighteen years of age in order to submit this Affidavit. Birthplace State or Country Residence City Town or Location CountyState Zip Number of this Marriage If previously married last marriage ended by Death Dissolution Annulment Date last marriage ended Month Year Race White Black American Indian Other Specify Education Specify highest grade completed K-12 College No* of years completed I affirm I am over the age of 18 years of age am legally competent to make an affidavit and do so on the basis of personal knowledge and have the capacity to enter into a marriage contract. I affirm this proposed marriage is NOT a marriage between parent and child between grandparent and grandchild of any degree between brother and sister of the half or the whole blood between uncle and niece between aunt and nephew or between first cousins. I also affirm that I have not been adjudged incapacitated* I have attached a copy of one or more government issued identifications which contain my photo. If no photo is available/attached check here I affirm I am making this Affidavit and Application for Marriage License to marry the following person I am unable to appear in the presence of the Recorder of Deeds for County Missouri for the reason selected below which is confirmed by the Verification attached to this affidavit Select one that applies I am currently incarcerated at or I have been diagnosed with a significant disability subject to the Americans with Disabilities Act. Signature of Absent Applicant Print Name State of ss Subscribed and sworn to before me by who personally appeared before me and is known to me to be the person described in and who executed the foregoing Affidavit of Absent Applicant and Application for Marriage License and acknowledged that the facts set forth herein are true and correct to the best of his/her knowledge and information and that he/she executed the Affidavit of Absent Applicant and Applicant for Marriage License as his/her free act and deed* In Witness Whereof I have hereunto set my hand and affixed my official seal on this day of Seal Signature Title My Commission expires VERIFICATION OF INCARCERATED PERSON currently over the age of 18 years of age am legally competent to make an affidavit and do so on the basis of personal knowledge.

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