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AFFIDAVIT OF COMMON LAW MARRIAGE

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STATE OF SOUTH CAROLINA COUNTY OF PERSONALLY APPEARED BEFORE ME, ) ) AFFIDAVIT OF COMMON LAW MARRIAGE and who both being duly sworn, depose and state as follows: 1. We each have had the opportunity to consider the following and consult with others, including an attorney, before completing and signing this AFFIDAVIT. 2. We each have represented ourselves to others as a married couple and although we have not been married in a formal, legal ceremony, we state that we are married by the common law of South Carolina as evidenced by the following ( Circle any/all that apply): a. We introduce ourselves to others as husband and wife. b. We use the same last name, but not just out of convenience. c. We are the natural or adoptive parents of our child (ren). d. We have lived together for f. Years, Months. e. We file joint tax returns as a married couple. We have a joint bank account as a married couple. another person by common law or otherwise. h. We have the reputation within our community as being a married couple. i. Other facts which show our past and present intention to be married to each other: g. When we began to live together as husband and wife, neither of us was married to Husband’s Signature Wife’s Signature SWORN TO BEFORE ME THIS day of , 20 . NOTARY PUBLIC FOR SOUTH CAROLINA My Commission Expires: SCDMH FORM APRIL 2005 HRS-24

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