Application for Marriage License
*Denotes required fields. Please note: All fields will be required, IF APPLICABLE, at the time you pick up your license.
Applicant A
Gender
Male
Female
Other
Suffix(Jr., II, etc.)
Name Before 1st Marriage
Last Name*
*
First Name*
*
Middle Name
Address*
*
City*
*
County
State
Zip
Age*
*
*
Date Of Birth(mm/dd/yyyy)*
*
*
*
Place Of Birth*
*
Times Married*
*
*
Parent 1 - Full Name
Parent 1 - Place Of Birth
Parent 1 - Name Before 1st Marriage
Parent 2 - Full Name
Parent 2 - Place Of Birth
Parent 2 - Name Before 1st Marriage
Applicant B
Gender
Male
Female
Other
Suffix(Jr., II, etc.)
Name Before 1st Marriage
Last Name*
*
First Name*
*
Middle Name
Address*
*
City*
*
County
State
Zip
Age*
*
*
Date Of Birth(mm/dd/yyyy)*
*
*
*
Place Of Birth*
*
Times Married*
*
*
Parent 1 - Full Name
Parent 1 - Place Of Birth
Parent 1 - Name Before 1st Marriage
Parent 2 - Full Name
Parent 2 - Place Of Birth
Parent 2 - Name Before 1st Marriage
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