FOR THOSE REPORTING ONE YEAR AFTER THEIR MARRIAGE, KINDLY ACCOMPLISH THE AFFIDAVIT BELOW:
AFFIDAVIT FOR DELAYED REGISTRATION OF MARRIAGE
WE/I, ______________________________________________________ both of legal age,
and with residence and postal address at ___________________________
___________________________________________________________________________,
after having been duly sworn to in accordance with law, do hereby depose and say:
1. That We/I are/am the applicant for the delayed registration of marriage of
______________________________ and _______________________________.
2. That We/ I were married on __________________________________________
at ________________________________________________________;
3. That at the time of Marriage I / he / she/We am/is/was/were a Filipino Citizen/s
and
4. That the reason for the delay in registering our/my marriage was due to
__________________________________________________________________;
_________________________ _________________________
Signature over Printed Name Signature over Printed Name
Husband Wife
SUBSCRIBED AND SWORN to before me this _____________________ day of
______________________, 20 __ in the City and County of Los Angeles, California, U.S.A.
NOTARY PUBLIC
full name of husband
full name of wife
date of marriage
place of marriage
insert day in numbers (ex. 23rd)
insert month
place where you signed affidavit