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1. Declaration and Identification: Identifies the parties making the affidavit and their personal details
2. Statement of Cohabitation: Details of when cohabitation began and current living arrangement
3. Living Arrangement Details: Description of shared residence and living circumstances
4. Financial Interdependence: Statement regarding shared financial responsibilities
5. Verification: Sworn statement of truth and accuracy
6. Notarization Block: Space for notary acknowledgment
1. Purpose of Affidavit: Specific reason for creating the affidavit (e.g., insurance benefits, immigration)
2. Relationship Status: Details about the nature of the relationship
3. Prior Marriages/Relationships: Information about previous marriages or domestic partnerships
1. Proof of Residence: Copies of utility bills, lease agreements, or other documentation showing shared address
2. Financial Documents: Evidence of joint accounts, shared expenses, or financial interdependence
3. Supporting Affidavits: Additional statements from witnesses confirming cohabitation
Cohabitation
Domestic Partnership
Principal Residence
Shared Household
Financial Interdependence
Common Law Marriage
Domestic Partner Benefits
Joint Financial Responsibility
Relationship Status
Living Arrangements
Shared Financial Obligations
Notary Public
Supporting Documentation
Sworn Statement
State of Residence
Declaration Under Penalty of Perjury
Effective Date
Term of Cohabitation
Mutual Residence
Duration of Cohabitation
Residence Verification
Financial Interdependence
Relationship Status
Mutual Support
Shared Responsibilities
Prior Relationships
Purpose Declaration
Truthfulness and Accuracy
Supporting Documentation
Change of Status Notification
Legal Compliance
State Law Acknowledgment
Verification Under Oath
Privacy and Confidentiality
Amendment Process
Notarization Requirements
Contact Information
Supporting Witness Statements
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