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Marriage License Application
Applicant 2
Applicant 2 Father Information
First Name
*
Do not use abbreviations or initials. Will appear on certificate as typed.
Middle Name
Do not use abbreviations or initials. Will appear on certificate as typed.
Last Name
*
Do not use abbreviations or initials. Will appear on certificate as typed.
Country of Birth
*
Enter a country
State of Birth
Enter a state. (If in the US)
Living?
Select
No
Refused
Unknown
Yes
Applicant 2 Mother Information
First Name
*
Do not use abbreviations or initials. Will appear on certificate as typed.
Middle Name
*
Do not use abbreviations or initials. Will appear on certificate as typed.
Last Name
*
Do not use abbreviations or initials. Will appear on certificate as typed.
Country of Birth
*
Enter a country
State of Birth
Enter a state. (If in the US)
Living?
Select
No
Refused
Unknown
Yes
Supplementary Data
Confidential Information - Information on previous Marriage/other Legally Recognized Union/RBR, race, occupation and education is confidential and will not be reproduced on certified copies of your marriage certificate but used for statistical purposes only. (Only the first and last questions are required)
Is this your first marriage/other legal union?
*
Select one
Yes
No
SelectAre you currently in a civil union or other legally recognized union with the same partner?
Select one
Yes
No
Number of this marriage/other legal union
Select one
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
Last marriage/other legal union ended by
Select one
Divorce
Death
Dissolution
Annulment
Termination
Date Ended
Enter the year as 4 digits. If you do not know the day, enter the first day of the month.
MM
DD
YYYY
Place Ended - Country
Enter a country
Place Ended - County
Place Ended - State
Enter a state
Race
Applicant 2 race
Occupation
Applicant 2 occupation
Education
Specify highest grade completed
8th grade or less
9th - 12th grade; no diploma
High school graduate or GED completed
Some college credit, but no degree
Associate degree (e.g. AA, AS)
Bachelor's degree (e.g. BA, AB, BS)
Master's degree
Doctorate (e.g. PhD, EdD) or Professional degree (e.g. MD, DDS, DVM, LLB, JD)
Refused
Sex
*
Female
Male
Thank you!
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