Form A Pre-Nuptial Questionnaire Page 4

ADVERTISEMENT

I, the undersigned, declare that the bride whose signature is affixed above appeared before me personally on the date given above;
that I proposed to her individually all of the above questions under oath and personally recorded the answers given; that no one else
was present during the questioning; that I have on file all necessary documents, and that the bride has been instructed in accord
with the law of the Church.
___________________________________________________________________
_________________________
Signature of Priest or Deacon
Date
Parish Seal
SPECIAL DELEGATION to Priest or Deacon not having general delegation in the parish of marriage, given
To: __________________________________ By: _____________________________________ Date: _______________
PREVIOUS MARRIAGE(S) OF BRIDE
With whom:
(1)_____________________________________________ (2)_____________________________________________
Date of Marriage
(1)_____________________________________________ (2)_____________________________________________
Place
(1)_____________________________________________ (2)_____________________________________________
Before whom?
(1)_____________________________________________ (2)_____________________________________________
How did the bond of this marriage cease?
(1)_____________________________________________ (2)_____________________________________________
If a former spouse is dead, give the date of death and obtain death certificate.
(1)_____________________________________________ (2)_____________________________________________
If a former marriage was dissolved or declared null by the Church, an official document from the Church Court must be
presented and its protocol number given here.
(1)_____________________________________________ (2)_____________________________________________
Are you bound by any natural obligations to a former spouse or children?______________________________________
If yes, are you fulfilling these?________________________________________________________________________
ADDITIONAL DATA FOR THE MARRIAGE REGISTER
Date of Marriage_____________________________ Dispensation and/or Permission Granted____________________________
Place______________________________________ Permission of Proper Pastor______________________________________
Married by________________________________________________ License Number_________________________________
Notice sent to parish of baptisms______________________________ Receipt from pastor of baptisms_____________________
Page 4 of 4

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go
Page of 4