Marriage License

 

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Marriage License Application
Your Names(*)
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Phone Number(*)
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Email Address(*)
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Your Full Address (You must state that you live together at this address)
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Mailing Address (if different)
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City and County Where Your Ceremony Is Taking Place
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Date of Ceremony
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FIRST PERSONS INFORMATION
What do You Prefer to be Listed As
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P1 First Name
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P1 Middle Name
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P1 Last Name
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P1 Last name at Birth (If Different)
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P1 Date of Birth (please use this format MM/DD/YYYY)
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P1 Place of Birth (enter first few letters of your State or Country of Birth)
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P1 Number of Previous Marriages
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P1 Last Marriage ended in (Select One)
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P1 Date Last Marriage Ended (MM/DD/YYYY)
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If your last marriage ended in the last 2 years you will need to show proof of dissolution
P1 Father's/Parent's Birth Name: First, Middle and Last
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P1 Father's/Parent's Place of Birth (enter first few letters of His State or Country of Birth)
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P1 Mother's/Parent's Birth Name: First, Middle and Last
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P1 Mother's/Parent's Place of Birth (enter first few letters of Her State or Country of Birth)
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SECOND PERSONS INFORMATION
What do You Prefer to be Listed As
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P2 First Name
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P2 Middle Name
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P2 Last Name
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P2 Last name at Birth (If Different)
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P2 Date of Birth MM/DD/YYYY
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P2 Place of Birth (enter first few letters of your State or Country of Birth)
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P2 Number of Previous Marriages
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P2 Last Marriage ended in (Select One)
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P2 Date Last Marriage Ended (MM/DD/YYYY)
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If your last marriage ended in the last 2 years you will need to show proof of dissolution
P2 Father's/Parent's Birth Name: First, Middle and Last
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P2 Father's/Parent's Place of Birth (enter first few letters of His State or Country of Birth)
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P2 Mother's/Parent's Birth Name: First, Middle and Last
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P2 Mother's/Parent's Place of Birth (enter first few letters of Her State or Country of Birth)
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Would either of you like to change your Name? Here is your Chance.
First Persons New Middle Name
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First Persons New Last Name
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Second Persons Middle Name
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Second Persons New Last Name
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Appointment Information
Have you set an appointment with us yet?
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Where did you want it Issued?
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What Date, TIme and Location did you want it issued?
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Would you like us to Perform your Ceremony too?
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Additional Information or Questions
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Please Double Check and Make Sure All Entries are Correct(*)
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