APPLICATION FOR LICENSE AND CERTIFICATE OF MARRIAGE
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Please complete the form in its entirety. The application fee is $70. Please note: A marriage application does not automatically deem a couple married.
  • Applicant A - Name and Address
    First Name
    Middle Name
    Last Name
    Suffix
    Home Address Line 1  
    Home Address Line 2  
    Zip
    City
    State
    County
    Phone
    Email
  • Applicant A - Applicant Information
    Date of Birth  [mm/dd/yyyy]
    RadDatePicker
    RadDatePicker
    Open the calendar popup.
     Age 
    Race
    Sex
    Birth Place  (State if within US; country if outside US)
    Last Name on Birth Certificate    (If different)
    Number of this Marriage  (Enter 1 if first marriage, 2 if second, ...)
  • Applicant B - Name and Address
    First Name
    Middle Name
    Last Name
    Suffix
    Home Address Line 1  
    Home Address Line 2  
    Zip
    City
    State
    County
    Phone
    Email
  • Applicant B - Applicant Information
    Date of Birth  [mm/dd/yyyy]
    RadDatePicker
    RadDatePicker
    Open the calendar popup.
     Age 
    Race
    Sex
    Birth Place  (State if within US; country if outside US)
    Last Name on Birth Certificate    (If different)
    Number of Marriage  (Enter 1 if first marriage, 2 if second, ...)
  • Mailing Address
    Address Line 1  
    Address Line 2
    City
    State
    Zip
    Telephone
  • Upload Document
  • Review and Submit
    Applicant A Applicant B
    DOB: DOB: