BMD-002A - Declaration in Support of Petition to Establish Fact, Time, and Place of Marriage

Summary

Declaration in Support of Petition to Establish Fact, Time, and Place of Marriage

Text

Form ID: BMD-002A
Title: Declaration in Support of Petition to Establish Fact, Time, and Place of Marriage
Effective Date: 2018-09-01
Mandatory Form: yes
Info Page: https://selfhelp.courts.ca.gov/jcc-form/BMD-002A
Primary Download URL: https://www.courts.ca.gov/documents/bmd002a.pdf
Form Detail Page:
Declaration in Support of Petition to Establish Fact, Time, and Place of Marriage
(BMD-002A)
Make a declaration (a statement in writing that you swear under penalty of perjury is true) to the court about the facts that support your Petition to Establish Fact, Time, and Place of Marriage. This is always attached to form BMD-002.
Get form BMD-002A
Effective: September 1, 2018
PDF Text:
Page 1 of 2
Form Adopted for Mandatory Use 
Judicial Council of California 
BMD-002A [Rev. September 1, 2018]
DECLARATION IN SUPPORT OF PETITION TO 
ESTABLISH FACT, DATE, AND PLACE OF MARRIAGE
Health & Safety Code, §§ 103450–103490 
www.courts.ca.gov
BMD-002A
FOR COURT USE ONLY
CASE NUMBER:
HEARING DATE AND TIME: DEPT.:
ATTORNEY OR PARTY WITHOUT ATTORNEY: STATE BAR NUMBER:
NAME:
FIRM NAME:
STREET ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE NO.: FAX NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
IN THE MATTER OF (names):
DECLARATION IN SUPPORT OF PETITION TO 
ESTABLISH FACT, DATE, AND PLACE OF MARRIAGE
(Name of declarant): declares as follows:
1.    I make the statements in this declaration based on my personal knowledge or on the contents of the documents identified in item 5. 
(“Personal knowledge” of a fact is knowledge that is not gained from another person's statements to you about that fact.)
2.  a. I am at least 18 years of age.
b. I reside at (street address and city):
County: State: 
3.   (Names): and
were married on (date):  at the following place:
a. City, town, township, or other (identify “other” if known):
b. County:  State (U.S.): 
c. State or province: Country:
4.  Facts showing when and where the persons named in item 3 were married and explaining how I have personal knowledge of those 
facts are stated in the space below  are stated in Attachment 4 to this declaration. 
(If you are relying solely on the contents of the documents identified in item 5, please advise in the space below.)

For your protection and privacy, please press the Clear 
button after you have printed the form.
BMD-001A [Rev. September 1, 2018 DECLARATION IN SUPPORT OF PETITION TO 
ESTABLISH FACT, DATE, AND PLACE OF MARRIAGE
Page 2 of 2
BMD-002A
CASE NUMBER:IN THE MATTER OF (names):
5. Attached are true and correct copies of the following documents (check each box that applies; statements of officiating 
persons and witnesses must be signed under oath, in an affidavit sworn before a Notary Public or with the following 
statement just above the signature: “I declare under penalty of perjury under the laws of the State of California that the 
foregoing is true and correct”):
a.  Marriage license* dated (date of each):
*(A marriage license is required for a valid marriage in California. The procedure described in Health and Safety Code sec. 
103450 et seq., cannot establish the validity of a California marriage if no marriage license was obtained.)
b.  Officiating person's statement dated: (date of each):
c.   Witness statements dated (date of each):
d. Other documents dated (describe and give the date of each document):
Continued on Attachment 5d.
6. The marriage of the persons named in item 3, or the date or place of the marriage                                            important to a court 
case or proceeding that is now pending and described below. (If you selected “is,” briefly describe the proceeding and provide the 
case name and number, the name and address of the court where the proceeding is pending, the names of all parties to the 
proceeding, and the names, addresses, and telephone numbers of their attorneys. Note: A court order made on a petition under 
Health and Safety Code section 103450, et seq., may not be effective against claims of persons or organizations not given 
notice of the petition for the order.)
is not is
Continued on Attachment 6.
7. Number of pages attached:
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(TYPE OR PRINT NAME  OF DECLARANT)
 (SIGNATURE OF DECLARANT)

Retrieval chunks

• #1

  Form ID: BMD-002A Title: Declaration in Support of Petition to Establish Fact, Time, and Place of Marriage Effective Date: 2018-09-01 Mandatory Form: yes Info Page: https://selfhelp.courts.ca.gov/jcc-form/BMD-002A Primary Download URL: https://www.courts.ca.gov/documents/bmd002a.pdf Form Detail Page: Declaratio…

• #2

  BMD-001A [Rev. September 1, 2018 DECLARATION IN SUPPORT OF PETITION TO ESTABLISH FACT, DATE, AND PLACE OF MARRIAGE Page 2 of 2 BMD-002A CASE NUMBER:IN THE MATTER OF (names): 5. Attached are true and correct copies of the following documents (check each box that applies; statements of officiating persons and witn…