Affidavit for Correction of a Marriage Record by UzLj3VMZ

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									                  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.

                                                          ________________________________
                                                          Signature
                                                          ________________________________
                                                          Address
                                                          ________________________________
                                                          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:______________________________

								
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