Wedding Date Rectification Form

WEDDING DATE RECTIFICATION FORM

This form is a sworn request to correct the date of marriage as currently recorded in the official marriage registry. The undersigned parties declare that the current recorded date is incorrect and request that the official record be amended to reflect the correct wedding date. Both parties must sign and date this form and provide supporting documentation where indicated.

1. Parties and Identifying Information

2. Recorded Marriage Information

Marriage registered in: , State of . Certificate or File Number:

Date currently recorded on official certificate: ,

3. Corrected Wedding Date

The correct date of the wedding is: , .

4. Reason for Rectification

Indicate the basis for the requested correction (check all that apply):

Clerical or typographical error in the clerk's entry
Incorrectly recorded due to inaccurate information provided at time of filing
Other (explain below)

5. Supporting Documents

Attach or list documents submitted to support this request. Check all attached items and provide brief details.

Copy of original marriage certificate
Photographs showing date (programs, invitations, dated images)
Affidavit of witness(es) confirming correct date
Other documents (describe below)

6. Declaration and Certification

We, the undersigned spouses, declare under penalty of perjury under the laws applicable to the jurisdiction where this request is submitted that the facts set forth in this form are true and correct to the best of our knowledge. We request that the official marriage record be amended to reflect the corrected wedding date set forth above.

We authorize the registrar or record custodian to review the supporting documents submitted with this request. We understand that knowingly making a false statement for the purpose of obtaining an amendment to a public record may subject us to civil or criminal penalties.

7. Witness / Notary (if required)

If notarization or witness attestation is required by the recording jurisdiction, complete the section below. If notarized, this section must be completed by the notary public or authorized official.

8. Applicant Authorization

By signing below, each spouse attests to the truth of the statements contained in this form, acknowledges submission of any listed supporting documents, and authorizes the record custodian to correct the marriage record as appropriate.

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