AFFIDAVT.TXT


For your convenience, following is an affidavit form for your proper
registration with your parish clerk of court (or in the case of Orleans
Parish, with the office of the state registrar of vital records). Register
at your earliest opportunity in order that you may be able to perform
marriage ceremonies when called upon. A suggested ceremony is available
from the Louisiana Archdiocese Episcopal Office, 5065 Florida Blvd, Baton
Rouge LA 70806. 




                          AFFIDAVIT OF MINISTER


STATE OF LOUISIANA

PARISH OF _______________________________    


BEFORE ME, the undersigned duly commissioned and qualified Notary Public
came and appeared the undersigned

            ___________________________________________________
                                       
who, after being first duly sworn, deposed and said:

That __he is authorized by the authorities of the

                            Universal Life Church

           which registered office for the State of Louisiana is at

                            5065 Florida Boulevard
                         Baton Rouge, Louisiana 70806

to perform Marriage Ceremonies. He further declares that his/her lawful
name is
        
            ___________________________________________________


and his/her denomination is Universal Life and his/her current address is

           
            ___________________________________________________
                                                                         


                                           ___________________________________
                                           Affiant



SWORN TO AND SUBSCRIBED before me

this ____ day of _________,______


_______________________________
Notary Public
