APPLICATION FOR A CERTIFIED COPY OF A MARRIAGE RECORD
APPLICATION FOR A CERTIFIED COPY OF A MARRIAGE RECORD
$15.00 FIRST COPY, $6.00 EACH ADDITIONAL COPY **$2.00 MAILING FEE OR SEND A SELF
ADDRESSED STAMPED ENVELOPE WITH YOUR REQUEST**
MAKE CHECKS PAYABLE TO: TOWN OF HOULTON
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GROOMS FULL NAME ___________________________________________________
BRIDES FULL MAIDEN NAME ____________________________________________
DATE OF MARRIAGE _____________________ NUMBER OF COPIES _________
YOUR NAME ______________________________________
If you are not specifically named on the marriage record, you must include proof of direct and legitimate interest.
YOUR RELATIONSHIP TO THE GROOM/BRIDE _________________________________
YOUR MAILING ADDRESS _______________________________________________
YOUR PHONE # _________________________________________________________
SIGNATURE OF APPLICANT ______________________________________________
TODAY’S DATE ________________________
For additional information, please contact the Town of Houlton at (207) 532-7111.
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**Please be advised that anyone purchasing a copy of a record must show proof of identification (driver’s license, passport or other government issued picture identification card). If these are not available, then the applicant will need to show two items from the following list: utility bills, bank statements, car registration, copy of income tax return, personal check with address, a previously issued vital record, a letter from a government agency requesting the vital record (DHS,WIC), Department of Corrections ID Card, Social Security card, DD214 form, hospital birth worksheet, license/rental agreement, pay stub or W-2, voter registration card, Medicare/Mainecare insurance card, private or public school photo ID, college photo ID, employee photo ID, or a disability award letter for SSA. These identification requirements apply to both certified and non-certified copies of vital records.
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