Free Affidavit of Non-Legal Separation Template

Affidavit of Non-Legal Separation

I. Introduction

This Affidavit of Non-Legal Separation is provided to affirm that I, the undersigned, am not legally separated from my spouse, as of this date. This document serves as proof of our marital status for the purpose of legal and administrative requirements.


II. Affiant’s Details

The following information pertains to the affiant (the individual making this affidavit):

Full Name

Date of Birth

Current Address

Phone Number

John Doe

January 1, 1980

1234 Elm Street, Apt 567, Cityville, State, ZIP

(123) 456-7890

Affiant’s Signature
Date of Affidavit: January 15, 2050


III. Spouse’s Details

The following information pertains to my spouse:

Spouse’s Full Name

Spouse’s Date of Birth

Spouse’s Current Address

Spouse’s Phone Number

Jane Doe

March 3, 1985

1234 Elm Street, Apt 567, Cityville, State, ZIP

(321) 654-0987

Spouse’s Signature
Date of Affidavit: January 15, 2050


IV. Affirmation of Marital Status

I hereby affirm that I am still legally married to the aforementioned individual, Jane Doe, and no legal separation has taken place between us as of this date. Furthermore, we are not in the process of seeking a legal separation or divorce. This affidavit is being provided to confirm that our marital status remains intact for purposes of financial and legal matters, including but not limited to:

  • Social security benefits

  • Insurance claims

  • Financial matters (e.g., loans, mortgages)

  • Estate planning or inheritance


V. Conclusion

This affidavit has been executed to clarify the marital status between myself and my spouse, Jane Doe, in accordance with applicable requirements. If any further information or documentation is needed, please contact me at [YOUR EMAIL].


Prepared by: [YOUR NAME]
[YOUR EMAIL]

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