Application For Marriage License - Virgin Islands Superior Court
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1(Application must be typed)
NO.______________________
APPLICATION FOR MARRIAGE LICENSE
We____________________________
Of_______________________________
(Permanent Residence)
And____________________________
Of_______________________________
(Permanent Residence)
Do hereby apply for the request that a marriage license be granted us to enter into marriage in
____________________________, Virgin Islands, we do further respectfully represent that the
following statements are true and correct.
MALE
FEMALE
Full Name
_____________________________
_____________________________
SS No.
_____________________________
_____________________________
Date Of Birth
_____________________________
_____________________________
Place Of Birth
_____________________________
___________________________
Nationality
_____________________________
___________________________
Usual Residence
_____________________________
___________________________
Previous Marital Status
_____________________________
___________________________
Related to other Applicant?
_____________________________
___________________________
In what degree?
_____________________________
___________________________
Parents Guardians:
Present Name
_____________________________
___________________________
Maiden Name
_____________________________
___________________________
Place of Birth
_____________________________
___________________________
Signature:
_____________________________
___________________________
PLEASE CHECK THIS BOX IF YOU ARE
THE COURT, HAVING REVIEWED THIS APPLICATION
REQUESTING EXEMPTION TO THE EIGHT-DAY
FOR MARRIAGE LICENSE, DETERMINES THAT SPECIAL
POSTING REQUIREMENT EXPLAIONED IN THE
CIRCUMSTANCES EXIST TO ISSUE A LICENSE WITHOUT
ATTACHED MARRIAGE INFORMATION FACT
THE POSTING REQUIRED BY THE TITLE 16 SECTION 38
SHEET.
OF THE VIRGIN ISLANDS CODE.
WE ARE REQUESTING EXEMPTION BECAUSE OF THE
______________________________________
FOLLOWING SPECIAL CIRCUMSTANCES:
JUDGE
____________________________________
____________________________________
____________________________________
Subscribed and sworn to by each of the parties this _______ day of ______________________, ________
License issued this __________ day of ________________________, _________
Filed this ________ of __________________________, _________
____________________________________________
Venetia H. Velazquez Esq.
Clerk of the Court
By: _____________________________
Marriage Clerk
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