Marriage Application

Applicant 1

First Name
Middle Name
Last Name

Title
Last Name Prior to First Marriage (If Applies)

Address
City
State
County
Inside City Limit

Birth Place (County & State or Country)
Date of Birth (mm/dd/yyyy)
Gender (Optional)

Race (Optional)
Education
Education Years

Number Of This Marriage
Last Marriage Ended By
Marriage Ended Date

Parent's Name At Parent's Birth
State of Birth
Address (if Living)

Parent's Name At Parent's Birth
State of Birth
Address (if Living)

Applicant 2

First Name
Middle Name
Last Name

Title
Last Name Prior to First Marriage (If Applies)

Address
City
State
County
Inside City Limit

Birth Place (County & State or Country)
Date of Birth (mm/dd/yyyy)
Gender (Optional)

Race (Optional)
Education
Education Years

Number Of This Marriage
Last Marriage Ended By
Marriage Ended Date

Parent's Name At Parent's Birth
State of Birth
Address (if Living)

Parent's Name At Parent's Birth
State of Birth
Address (if Living)