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Effective Date: 
6/2018

Documents

Instructions

Updated: 1/2004

PURPOSE

To provide an alternative means for couples that are common-law married to provide a sworn statement declaring their informal marriage and the date of marriage.

PROCEDURE

When to Prepare

Use to verify the date of a common-law marriage when the couple indicates that they have not filed a Declaration of Informal Marriage with the county clerk's office. Use to determine whether or not to exclude a new common-law spouse's earnings. See A-1369, New TANF Spouse's Earnings, in the Texas Works Handbook.

Form Retention

Indefinitely

DETAILED INSTRUCTIONS

The client and common-law spouse complete each section and signs the form in Section III.