AFFIDAVIT TO REMOVE RELIGIOUS BARRIERS

Supreme Court of the State of New York, Onondaga County

In re:	The Marriage of:	)
	Scott Alan Klasky,	)
	Plaintiff,	)
		)
	and	)	Case No:
		)
	Jennifer Patton Klasky,	)
	Defendant.	)

Affidavit to Remove Religious Barriers

Under penalty of perjury I, the undersigned Affiant, agree to remove any and all religious barriers to remarriage of the Defendant, Jennifer Patton Klasky in the above styled cause.

DATED:________________________________

_______________________________________
Signature
Scott Alan Klasky
8219 Dampier Circle,
Liverpool, New York 13090
___________________________
Telephone (area code and number)

STATE OF NEW YORK
COUNTY OF _________________________________

Sworn to (or affirmed) and subscribed before me on______________________, 19___.

__________________________________________
NOTARY PUBLIC - STATE OF NEW YORK

__________________________________________
[Print, type, or stamp commissioned name of notary]

[one only]
____ Personally known
____ Produced identification Type of identification produced_________________________________