Marriage License Application

First Name :  Middle   Last   Jr Sr II III IV 2nd 3rd 4th 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   Jr Sr II III IV 2nd 3rd 4th 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):