MARRIAGE LICENSE APPLICATION

For your convenience you may complete the form below so we can have a copy of your marriage license ready when you come in, but to complete the process you MUST bring both of your IDs.
 
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Before you complete the application make sure you both qualify to apply. Click here to read the Requirements to Obtain a Confidential Marriage License

 ALL FIELDS ARE REQUIRED BUT IF INFORMATION IS NOT KNOW OR IT DOES NOT APPLY PLEASE WRITE OR PICK N/A, ZERO OR UNKNOWN

                 PARTY A'S INFORMATION

First Name:

 

Middle Name:

 

Last Name:

 

Date of Birth:

 

State or Country of Birth:

 

Previous Marriages:

 

Last Marriage Ended by:

 

Date Last Marriage Ended:

 

Father's Full Name:

 

Father's State or Country of Birth:

 

Mother's Full Maiden Name:

 

Mother's State or Country of Birth:

 

Preferred Phone:

 

Email:

PARTY B'S INFORMATION

First Name:

 

Middle Name:

 

Last Name:

 

Date of Birth:

 

State or Country of Birth:

 

Previous Marriages:

 

Last Marriage ended by:

 

Date Last Marriage ended:

 

Father's Full Name:

 

Father's State or Country of Birth:

 

Mother's Full Maiden Name:

 

Mother's State or Country of Birth:

 

Preferred Phone:

 

Email:

 

OTHER INFORMATION

Home Address:

 

City, State and Zip Code:

 

Date of the Ceremony:

 

Time:

 

Ceremony Address:

 

Ceremony will be performed in:

 

 

Comments:

 

 

   
  

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