Rev. 03/21/2014
AFFIDAVIT OF ABSENT APPLICANT
The County Clerk’s office will not accept this document if it is not filled out completely and correctly.
Please print or type all information.
State of Texas
COUNTY OF TARRANT
1. Full name of applicant:_________________________________________________________________________
(Include Maiden Name if Female)
2. Complete address of applicant (include address of institution if incarcerated.)
______________________________________________________________________________________________
Current Address City/State Zip
3. Date of birth:___________/____________/________________Age:_____________
Month Day Year
4. Place of birth:_________________________________________________________________________________
City County (If Known) State
5. I am a citizen of:_______________________________________________________________________________
6. Social Security Number:___________/_____________/______________
7. If divorced, did divorce occur within the last 30 days? □Yes □No □N/A
8. I am not presently married and the other applicant is not presently married. □True □False
9. I am not presently delinquent in court-ordered child support payments. □True □ False
10. The other applicant is not related to me as 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 stepchild or
stepparent; or a son or daughter of a parent’s brother or sister, of the whole or half blood or adoption.
□True □ False
11. I do hereby declare that I desire to marry:____________________________________________________________
whose age is:_____ and whose address is:_____________________________________________________________
Address City/ State Zip
12. Approximate date of marriage:________________________________________________________
13. I am unable to appear in person before the County Clerk because: __________________________
__________________________________________________________________________________
14. I will be present at the marriage ceremony. □True □ False
15. I am a member of the armed forces of the United States stationed in another country in support of
combat or another military operation. I am unable to attend the marriage ceremony and for that
reason I hereby appoint__________________________________________________to act as proxy.
(Must be 18 years of age or older and not the other applicant)
NOTARY
OATH OF APPLICANT
I solemnly swear (or affirm) that the information I have given in this affidavit is true and correct.
Signature______________________________________________________________ Executed on __________20____.
Subscribed and sworn to me on this _______________day of ____________________________, 20____.
Notary Signature ________________________________________________________
Notary Public, in and for ___________________________________________________
County State Seal
_____________________________________
Type of ID used for Notarization
*Note: Affidavit expires 90 days from date of notary acknowledgment.