Arkansas Code Title 9. Family Law § 9-11-805. Form of affidavit

The following is the suggested form of the affidavit that may be used by the parties, notary, and counselor:

“STATE OF ARKANSAS

COUNTY OF __________

BE IT KNOWN THAT on this ․․․․․ day of ․․․․․․․․․․, ․․․․․, before me the undersigned notary, personally came and appeared:

․․․․․․․․․․ and ․․․․․․․․․․

who after being duly sworn by me, a notary, deposed and stated that:

Affiants acknowledge that they have received premarital counseling from a priest, minister, rabbi, clerk of the Religious Society of Friends, any clergyman of any religious sect, or a professional marriage counselor, which marriage counseling included:

A discussion of the seriousness of covenant marriage;

Communication of the fact that a covenant marriage is a commitment for life;

The obligation of a covenant marriage to take reasonable efforts to preserve the marriage if marital difficulties arise; and

That affiants both read the pamphlet entitled “Covenant Marriage Act” developed and promulgated by the Administrative Office of the Courts, which provides a full explanation of a covenant marriage, including the obligation to seek marital counseling in times of marital difficulties and the exclusive grounds for legally terminating a covenant marriage by divorce or divorce after a judgment of separation from bed or board.

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(Name of prospective spouse)

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(Name of prospective spouse)

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SUBSCRIBED AND SWORN TO BEFORE ME THIS DAY OF ․․․․․․․․․․, ․․․․․.

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NOTARY PUBLIC

The undersigned attests that the affiants did receive counseling from me as to the nature and purpose of marriage, which included a discussion of the seriousness of covenant marriage, communication of the fact that a covenant marriage is for life, and the obligation of a covenant marriage to take reasonable efforts to preserve the marriage if marital difficulties arise.

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Counselor”.