Affidavit of Cohabitant

Affidavit of Cohabitant

State of [Your State]

County of [Your County]

Introduction

We, [Your Name] and [Partner's Name], residing at [Your Address], do solemnly affirm and declare under penalty of perjury:

Statement of Facts

  1. That we are of legal age and competent to provide this affidavit.

  2. That we have been cohabitating since [Start Date of Cohabitation], maintaining a shared residence and household.

  3. That our cohabitation is characterized by mutual support, joint financial responsibilities, and shared living expenses.

  4. That we have held joint accounts or co-owned property.

  5. That we have represented ourselves as a couple in various legal, social, and familial contexts.

  6. That our relationship is recognized and acknowledged by our family members, friends, and acquaintances.

  7. That we intend to continue our cohabitation and maintain our domestic partnership for the foreseeable future.

  8. That we are providing this affidavit for the purpose of establishing the nature of our relationship for insurance and benefits-related matters.

  9. That we declare the foregoing statements to be true and accurate to the best of our knowledge and belief.

Signature

[Your Name]

[Partner's Name]


Sworn to and subscribed before me on this [Date] day of [Month], [Year].

[Notary Public's Name]

[Notary Public's Commission Expiration Date]

[Notary Public's Seal or Stamp]

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