GROOM INFORMATION:
First Name: Middle: Last:
Date of Birth: ( Month Day Year ) Age in years:
Home Phone: () - Work Phone: ( ) -
Current Address Number & Street:
City: County: State: ZIP:
Place of Birth, State or Country: Occupation:
Your Father's full name:
First:
Middle:
Last:
Your Mother's full name:
First:
Middle:
Last (Maiden):
Have you ever been married? If yes, how many times
BRIDE INFORMATION:
First Name: Middle: Last:
Date of Birth: ( Month Day: Year: ) Age in years:
Home Phone: () - Work Phone: () -
Current Address Number & Street:
City: County: State: ZIP:
Place of Birth, State or Country: Occupation:
Your Father's name:
First:
Middle:
Last:
Your Mother's name:
First:
Middle:
Last (Maiden):
Have you ever been married? If Yes, how many times?
Name of the Clergy you expect to perform your marriage ceremony:
Is either party under guardianship? Yes No
ATTENTION!
Please proof read application before submitting. After submission errors can not be corrected until you appear in Court.
A marriage license is valid for sixty (60) days from the date it is issued.
The Probate Court may declare as void ab initio any marriage license issued based on an application containing false statements.
