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Marriage License Application

  1. Applicant 1

  2. Should we send the marriage license to the current address listed?

  3. Social Security Number

    ______________________

    Enter After Printing

  4. Have you been divorced in the last 30 days?

  5. Applicant 2

  6. Should we send the marriage license to the current address listed?

  7. Social Security Number

    ______________________

    Enter After Printing

  8. Have you been divorced in the last 30 days?

  9. Please check only one address to return the marriage license to.

  10. Would you like to donate $5 or $10 to Early Childhood Development?

  11. Leave This Blank: