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Affidavit of _______________

I,________________________, am over the age of eighteen years old, and hereby swear,
as follows:

My address:___________________________________________
My DOB:_______________________
My Place of Birth:_________________

I have personal knowledge about the marriage of:______________________________ and


______________________________:
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Date:____________ _________________________

STATE OF _________________
COUNTY OF _______________

Subscribed and sworn to me before me this________day of ________________,20__

My commission Expires:_______________
STAMP
________________________________
Notary Public

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