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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, or PARTNERSHIP agreement.

We declare that we meet the requirements for registration of a domestic partnership pursuant to Chapter 26.60 RCW, and that: • We share a common residence; • We are both at least eighteen (18) years of age; • Neither partner is married to anyone else, or in a state registered domestic partnership with any other person;

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