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Marriage License Application
 
First Name :  Middle   Last  
D.O.B :  
Address. 
City : State :   Zip Code :
Residence County :
Number of times previously married :
Birthplace :  (Please include City and State)
Parent's Current Full Name :  
      Parent's Last Name before first married:  
      Parent's state and country of birth :   (Please include city if outside US) 
Parent's Current Full Name :   
      Parent's Last Name before first married:    
      Parent's state and country of birth :  (Please include city if outside US)
Your Last Name before first married (If different from current last name):  
Daytime Phone # (Including Area Code):  
 
First Name :  Middle   Last  
D.O.B :  
Address. 
City : State :   Zip Code :
Residence County :
Number of times previously married :
Birthplace :  (Please include City and State)
Parent's Current Full Name :
      Parent's Last Name before first married:   
      Parent's state and country of birth :  (Please include city if outside US) 
 Parent's Current Full Name:
       Parent's Last Name before first married:  
      Parent's state and country of birth :  (Please include city if outside US)
Your Last Name before first married (If different from current last name):  
Daytime Phone # (Including Area Code):