Marriage License Application - State Marriage Laws

Marriage License Application

Date:

Last Name

Phone Number:

GROOM'S PERSONAL INFORMATION

First Name

Middle Name

Jr or Sr

Marital Status

Single

Place of Birth

Divorced Widowed

Date of Birth Social Security Number

Age Driver's License Number

Race

Occupation

Employer

Mailing Address: Including the County

Physical Address if Different

Highest Grade Completed

Years of College

Times Married Father's Full Name

Date Last Marriage Ended

Ended by:

Divorce or

Mother's Full Maiden Name

Death

Father's Address (including city/state/zip)

Mother's Address (including city/state/zip)

Last Name

BRIDE'S PERSONAL INFORMATION

First Name

Middle Name

Maiden Name

Marital Status

Single

Place of Birth

Divorced Widowed

Date of Birth Social Security Number

Age Driver's License Number

Race

Occupation

Employer

Mailing Address: Including the County

Physical Address if Different

Highest Grade Completed

Years of College

Times Married Father's Full Name

Date Last Marriage Ended

Ended by:

Divorce or

Mother's Full Maiden Name

Death

Father's Address (including city/state/zip)

Mother's Address (including city/state/zip)

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