THE TRIBUNAL Prot. Number Church ______1150 North First Street, Suite 100 ______San Jose, CA 95112-4966 (To be supplied by the Tel. No. 408-983-0219 Fax No. 408-983-0181 Chancery) City ______Priest ______

PETITION FOR A DECLARATION OF NULLITY IN A LACK OF FORM CASE (Yellow Form: TO BE COMPLETED BY / )

MAN IN ATTEMPTED WOMAN IN ATTEMPTED MARRIAGE

Full Name

Address

City / State / Zip

Daytime Phone No.

E-Mail Address

Date of Birth

Place of Birth

Number of Times Married

This Marriage is Number

Religion

Date of Baptism

Place of Baptism

Date of First Communion

Place of First Communion

Above-Named Parties Married at Date

Number of Children

In the Presence of a (Minister / Civil / )

Are all legal and moral obligations to the former spouse and to these children being met?

Was there a dispensation from Canonical Form?

Did the Catholic party ever leave the Church by a formal act?

Final civil of dissolution

Civil obtained at , Date

Plaintiff was

Woman / Man Grounds for (Annulment) were

Petitioner wishes to Marry Name ______Address ______Religion ______N.B.: Same information must be given (on separate sheets) for all other pertinent . (Over) Revised: October-2019 AFFIDAVIT OF PETITIONER IN LACK OF FORM CASE

I, the undersigned, do hereby pledge my word of honor and solemnly swear that the forgoing information, to the best of my knowledge, is true, and I further solemnly swear that I have never contracted or attempted any marriage during my lifetime except as indicated herein. I further solemnly swear that the marriage described herein was never blessed according to the of the . So help me .

Signature of Petitioner

Please affix Printed Name of Petitioner seal here

Date

Subscribed and sworn to before me

At this day of , (year) Signature of Priest

Printed Name of Priest

For Tribunal Use Only: Decision

Date Tribunal Seal Signed

LACK OF FORM CASES

DOCUMENTS REQUIRED: 1. The baptismal record of at least one Catholic party. The record must be of recent issue, within the last six months, and contain all recent additions and notations 2. Marriage record. (For marriages in California: a copy of the full Certification of Vital Record – Certificate of Registry of Marriage is needed as best evidence.) 3. The Final civil decree of divorce, dissolution, or annulment. 4. The Oath form with sworn data. (This Yellow Form)

Please note:  At least one party must have been bound by the Canonical form of Marriage at the time of the marriage: that is, baptized and not having left the Church by a formal act.  In the case of Orthodox Christians, please consult the Vicar for Canonical Affairs.  No Priest, Deacon, or other Minister should send anyone to the Canonical Affairs Office without first consulting the Vicar.  In general, no Priest nor petitioner may fix a definite time for a marriage celebration until canonical freedom has been completely established.

Revised: October-2019