Marriage License Request Information Sheet

LICENSE REQUEST INFORMATION

1ST PERSON
1ST PERSON IF NO MIDDLE NAME ENTER --
1ST PERSON
1ST PERSON
1ST PERSON MM/DD/YYYY
1ST PERSON (IF OUTSIDE U.S. ENTER JUST THE COUNTRY)
1ST PERSON INCLUDES (DISSOLUTION, ANNULMENT, DEATH, TERMINATION OF SRDP) OR FOR NONE TYPE --
1ST PERSON MM/DD/YYYY
1ST PERSON INCLUDES (DISSOLUTION, ANNULMENT, DEATH, TERMINATION OF SRDP) OR FOR NONE TYPE --
1ST PERSON
1ST PERSON IF UNKNOWN PLEASE PUT "UNKNOWN"
1ST PERSON (IF OUTSIDE U.S. ENTER JUST THE COUNTRY)
1ST PERSON (IF UNKNOWN PLEASE PUT UNKNOWN)
1ST PERSON (IF OUTSIDE U.S. ENTER JUST THE COUNTRY)
1ST PERSON
1ST PERSON
1ST PERSON
2ND PERSON
2ND PERSON IS NO MIDDLE NAME ENTER --
2ND PERSON
2ND PERSON
2ND PERSON MM/DD/YYYY
2ND PERSON (IF OUTSIDE U.S. ENTER JUST THE COUNTRY)
2ND PERSON INCLUDES (DISSOLUTION, ANNULMENT, DEATH, TERMINATION OF SRDP) OR FOR NONE TYPE --
2ND PERSON MM/DD/YYYY OR FOR NONE TYPE --
2ND PERSON INCLUDES (DISSOLUTION, ANNULMENT, DEATH, TERMINATION OF SRDP) OR FOR NONE TYPE --
2ND PERSON IF SAME OR WILL BE THE SAME AS 1ST PERSON ENTER SAME
2ND PERSON IF UNKNOWN PLEASE PUT "UNKNOWN"
2ND PERSON (IF OUTSIDE U.S. ENTER JUST THE COUNTRY)
2ND PERSON IF UNKNOWN PLEASE PUT "UNKNOWN"
2ND PERSON (IF OUTSIDE U.S. ENTER JUST THE COUNTRY)
2ND PERSON ID
2ND PERSON
2ND PERSON
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