Affidavit for Correction of a Marriage Record by UzLj3VMZ


									                  Affidavit for Correction of a Marriage Record

                               License number:____________

I hereby swear that the Marriage Certificate on record in the Thurston County Auditor’s Office
under Auditor’s File Number___________________ for ___________________________(groom)
and __________________________________(bride) is incorrect or incomplete as follows:

The record now shows:                                     The correct information is:

_______________________________                           ________________________________

_______________________________                           ________________________________

I further swear that I am a party to this marriage or represent the couple and that I have the
consent of all parties concerned in stating these true facts. I further declare that if the corrected
certificate is questioned, I will assume the responsibility of furnishing proof of the corrected
information to the questioning agency.

                                                          City, State Zip
State of Washington      ss.
County of Thurston

On this day personally appeared before me_____________________________________ to me
known to be the individual__ described in and who executed the within and foregoing
instrument, and acknowledged that _____ signed the same as _______ free and voluntary act
and deed, for the uses and purposes therein mentioned.

Given under my hand and official seal this _____ day of ____________, 20___

Notary Public in and for the State of Washington
My commission expires:____________________
Residing at:______________________________

To top