Marriage Bona Fides Declaration Form

Full Name

First NameMiddle NameLast Name

Email Address

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Current Residential Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Relationship to Spouse

Spouse Full Name

First NameMiddle NameLast Name

Date of Marriage

Date

Place of Marriage

Current Living Arrangement

Other

How Long Have You Known Each Other?

How the Relationship Developed

Types of Shared Life Evidence Provided

Additional Explanation

Declaration Statement

Acknowledgment