7/28/2019 Diocese of Chayenne Freedom to Marry

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FORM MB

1/10/06

DIOCESE OF CHEYENNE

Post Office Box 1468 Cheyenne, Wyoming 82003-1468 307-638-1530 Fax: 307-637-7936

AFFIDAVIT CONCERNING THE FREEDOM TO MARRY(These affidavits are required for every marriage.)

This completed form and all correspondence should be sent to the

Priest/Deacon named below who is arranging the marriage:

NA ME: ____ ________ ______ ________ ________ ______ ________ ______ ________ ____

CH URCH: __________________________________________________________________

STREET : __________________________________________________________________

CITY, STATE ZIP: __________________________________________________________________

PHONE: __________________________________________________________________

FOR THE MARRIAGE OF

_______________________________________________ and ______ ______ ________ ______ ________ ______ _______

GROOM (PRINT FULL NAME) BRIDE (PRINT FULL NAME)

AFFIDAVIT OF WITNESS FOR: ______ ______ ________ ________ ______ ________ ______ ________ ______ _______

(NAME OF GROOM OR BRIDE)

The witness must be interviewed in person. The pastor or his delegate will propose the questions and write the given answers.

1. Your full name? __________________________________________________________________________________

(Please print all information)

Address? ______________________________________ ___________________________________________ _______

Phone Numbers: (Home)________________________________ (Work) ______________ _______________________

2. What is your relationship to the person whose name appears above? _________________________________________

3. How long have you known this person? ___________________ How well? ___________________________________

4. Has this person every gone through any type of marriage ceremony with someone other than his/her

intended spouse? G Yes G No

How many times? _________________ With whom? __________________________________________________

Do these marriages still exist? __________________________________________ ____________________________

5. Is this person related to the other party to this intended marriage? G Yes G No

In what way? __________________________________________ __________________________________________

6. To the best of your knowledge, is this person entering this marriage freely? G Yes G No

To your knowledge, does this person intend to enter a lifelong union? G Yes G No

To your knowledge, does this person intend to be faithful for life to his/herpartner in this marriage? G Yes G No

To your kno wledge does this person intend to have children with his/herpartner in this marriage? G Yes G No

If you have answered No to any part of question 6, please explain. ______________________________________

____ ________ ______ ________ ______ ________ ________ ______ ________ ______ ________ ______ ________ ______

The pastor or his delegate, having reminded the witness of the sacred character and binding force of an oath, will ask: Do you

solemnly swear to tell the truth and nothing but the truth in answering the questions that shall be proposed to you, so help you God

and these Holy Scriptures which you touch with your hand?

Indicate the witness response to the oath. _________________________________________________________________

7/28/2019 Diocese of Chayenne Freedom to Marry

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7. Do you know of any reason why this person should not be married? G Yes G No

If Yes, please explain. __________________________________________ ___________________________________

____ ________ ______ ________ ______ ________ ______ ________ ________ ______ ________ ______ ________ ______

____ ________ ______ ________ ______ ________ ______ ________ ________ ______ ________ ______ ________ ______

TO ESTABLISH BAPTISM OR NON-BAPTISM:

8. Was this person ever baptized? G Yes G N o If Yes, in wh at re lig io n? _ __ __ __ __ __ __ __ __ __ __ __ __ __ _

If baptized in the Catholic Church, in which Rite? _____ ______ _____ _____ _____

When? ___________________ Name of the Church: ________________________________________________

Location of the Church: __________________________________________ ____

By whom? __________________________ Names of Sponsors? _______________________________________

____ ________ ______ ________ ______ _______

Were you present? G Yes G No If No, how do you know of the bap tism? ____________________________

____ ________ ______ ________ ______ ________ ________ ______ ________ ______ ________ ______ ________ ______

9. If this person was not baptized, how do you know of the non-baptism? ____________________________________

____ ________ ______ ________ ______ ________ ________ ______ ________ ______ ________ ______ ________ ______

By my signature, I hereby affirm the truth of all statements I have made on this form:

__ ______ ________ ______ ________ ______ _______ ________ ______ ________ ______ ________ ______ _______

Date Signature of Witness

__ ______ ________ ______ ________ ______ _______ ________ ______ ________ ______ ________ ______ _______

Parish or Place of Interview Signature of Interviewer

(Parish Seal)

IF THE PARTY IS UNDER 18 YEARS OF AGE:

10. Have the parents of this person been consulted about this marriage? G Yes G No

Have they given their consent? G Yes G No

If No, why not? ____________________________________________________________________________

11. How long have the part ies known one another? ____________________________________________________

12. How long have they been dating with a view to marriage?____________________________________________

13. When did you become aware of their intention to marry?_____________________________________________

14. Have you tr ied to di scourage them from marrying? G Yes G No

Why?_____________________________________________________________________________________

15. Is there any reason why this person feels obliged to marry at this time? G Yes G No

If Yes, what is the reason? _______________________________________ _____________________________

16. How do the parties intend to fulfill their family and financial responsibilities? _________ ________ ______ _____

__ ______ ________ ______ ________ ______ ________ ______ ________ ________ ______ ________ ______ ____