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DOMESTIC PARTNERSHIP DECLARATION

Page 1 of 2 DECLARATION of State Registered DOMESTIC PARTNERSHIP See attached detailed instructions Filing Fee $ Filing Fee with Expedited Service $ PARTNERSHIP DECLARATION Chapter RCW PARTNER 1 Name: First Middle Last Place of Birth: City State Country Date of Birth: Gender: Male FemalePARTNER 2 Name: First Middle Last Place of Birth: City State Country Date of Birth: Gender: Male FemaleADDRESS Mailing or Postal Address (optional): _____ City _____State Zip Code _____ Street Address: _____ City _____State Zip Code _____ This Box For Office Use Only Registration Number: DOMESTIC PARTNERSHIP - DECLARATION Washington Secretary of State Revised 07/14 Page 2 of 2 DECLARATION of State Registered DOMESTIC PARTNERSHIP Important information: Registration of a DOMESTIC PARTNERSHIP may affect property and inheritance rights and is not a substitute for a will, deed.

At the time of filing, the Corporations Division will provide each partner with one original Certificate of State Registered Domestic Partnership and one wallet card showing registration of the State registeredDomestic

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  Domestic, Original, Declaration, Partnership, Domestic partnership declaration

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