Please complete this information and bring it with you to make application for a marriage license.
All applications must be made in person.
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GROOM INFORMATION |
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First name |
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Middle Initial or Name |
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Last Name |
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Age |
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Race |
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Residence Street Address - no p.o. box |
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Residence City |
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Residence County |
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Residence State |
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Birthplace - state or foreign country |
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Date of Birth |
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Father's Name -first & last |
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Father's Birthplace -state or foreign country |
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Mother's Name - first & maiden name |
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Mother's Birthplace - state or foreign country |
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Marital Status - single/widowed/divorced |
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Number of This Marriage - First, Second, Third for example |
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Date of Divorce, Annulment or Death of Spouse |
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If under 18 years of age - Age 16 - 18 one parent can sign; Younger needs court order |
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Groom's Social Security Number |
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BRIDE INFORMATION |
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First name |
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Middle Initial or Name |
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Last Name |
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Age |
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Race |
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Residence Street Address - no p.o. box |
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|
Residence City |
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Residence County |
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Residence State |
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Birthplace - state or foreign country |
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Date of Birth |
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Father's Name -first & last |
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Father's Birthplace -state or foreign country |
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Mother's Name - first & maiden name |
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Mother's Birthplace - state or foreign country |
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Marital Status - single/widowed/divorced |
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Number of This Marriage - First, Second, Third for example |
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Date of Divorce, Annulment or Death of Spouse |
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If under 18 years of age - Age 16 - 18 one parent can sign; Younger needs court order |
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Bride's Social Security Number |