Affidavit To Accompany Application For Marriage License

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Application Nº_________
AFFIDAVIT TO ACCOMPANY APPLICATION
FOR MARRIAGE LICENSE
The undersigned, being first duly sworn, states upon oath:
1. My name is: ________________________________________________________________
2. I do not have a social security number
3. In reliance upon C.R.S. 14-14-113(1)(a), I am making this sworn statement to accompany my
application for a Colorado marriage license.
Signature of Applicant: _________________________________________________________
Subscribed and affirmed, or sworn to, before me in the County of ______________________,
State of ______________________________ this _______ day of ______________, 20 _____.
Witness my hand and official seal.
_______________________________________________________
Notary Signature/County Clerk & Recorder/Deputy County Clerk

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