I, Ivan Ivanov, by this statement inform that I am not married at the moment.
Contents of the article 34, 35 of Family Code of the Russian Federation were explained to me by the notary.
Date ________________________________ .
This statement is attested by me, Sidor Sidorov, notary of Moscow.
The statement is signed by Ivan Ivanov in my presence. His identity is proven, active capacity is checked. Marital relationships are checked.
Recorded in the register under No. 0-0000.
Charged according to the tariff: 00 roubles 00 kopecks
Attested in the notary public office located at:___________________.
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