Affidavit of Absent Applicant for Marriage License

Applying for a marriage license by an affiant in the State of Texas requires the execution of the following affidavit.

Extracted Text for Proper Search

THE STATE OF______________________________________	      COUNTY OF_________________________________________	 	
 	
AFFIDAVIT	 OF ABSENT APPLICANT FOR 	MARRIAGE LICENSE	 	The form and content of this affidavit is prescribed by s	ection 2.007 of the Texas Family Code.	 	 	Name of Absent Applicant (First, Middle, Last)	 	Maiden Surname 	(If applicable)	 	
Address (Street, city, state, zip)	 	
Date of Birth	 	Place of Birth (including city, county and state)	 	
Social Security Number	 	Citizenship	 	
 	
I have not been divorced within the last 30 days.	 □ TRUE	 □ 	FALSE	    	
I am not presently married	.  □ TRUE	 □ 	FALSE	    	
I am currently married to the other applicant.	  □ TRUE	 □ 	FALSE	    	
I am presently delinquent in the payment of court ordered child support. 	 	
□ TRUE	 □ 	FALSE	    	
The other applicant is not presently married 	□ TRUE	 □ 	FALSE	  	
 	
I am not related to the other applicant as:	  □ TRUE	 □ 	FALSE	    	
 	an ancestor or descendant, by blood or 	adoption;	 	 	a brother or sister, of the whole or half blood or by adoption;	 	 	a parent's brother or sister, of the whole or half blood or by adoption;	 	 	a son or daughter of a brother or sister, of the whole or half blood or by adoption;	 	 	a current or former step	child or stepparent; or	 	 	a son or daughter of a parent's brother or sister, of the whole or half blood or by adoption;	 	
I desire to marry:	 	 Name of Other 	Applicant (First, Middle, Last)	 	
Maiden Surname if Other Applicant is Female	 	Age	 	Approximate date on 	which the marriage is to occur	 	
Address (Street, city, state, zip)	 	
 	The Reason I am unable to appear personally before the county clerk for the issuance 	of the license:	 	
 	
THE FOLLOWING 	SECTION 	CAN ONLY BE COMPLETED BY MEMBERS OF THE ARMED FORCES OF THE	 UNITED 	
STATES STATIONED IN ANOTHER COUNTRY IN SUPPORT OF COMBAT OR ANOTHER MILITARY OPERATION 
WHO ARE UNABLE TO ATTEND THE CEREMONY:	 	 Name of adult person, other than the other applicant, to act as proxy for the purpose of participating in the ceremony:	 	
 
I SOLEMNLY SWEAR (OR AFFIRM) THAT THE INFORMATION I HAVE GIVEN IN THIS DECLARATION IS TRUE 
AND CORRECT. I AM AWARE THAT MAKING A FALSE STATEMENT ON THIS DOCUMENT IS PUNISHABLE TO UP 
TO 2 TO 10 YEARS IN PRISON AND UP TO A $10,000 FINE [HSC §195.003]	 	
Your 	Signature: 	 ___________________________________________  	 	 	Date	: ____________________	 	
 
Signature of Notary	 	                                                                                                  	                                 	 	
 
 
 
 	
(Seal)	 	
Printed Name and Title	: 	
Subscribed and sworn before me on:	 	Expiration date of Commission:	 	
 	
VS
-181 Rev. 09/2013