Application For Marriage Template - Groom
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1ATTENTION
YOU MUST PERSONALLY CONTACT THE BOWLING GREEN SENTINEL TRIBUNE
TO OMIT YOUR NAME FROM PUBLICATION. HOWEVER, THE TOLEDO BLADE
PRINTS ALL NAMES.
Please verify the accuracy of all information. This application cannot be changed once it is
submitted. If you have any questions, please ask.
Date of Application: __________________________
Marriage License: ________________________
1. Groom's Name: _________________________________________________________________________________
Current Legal First & Last Name (Middle Name or Initial Optional)
2. Residence: ____________________________________________________________________________________
Street
City
County
State
Zip Code
3. Date of Birth:
/
/_ _ __ _
Age: _________
Social Security #: ________________________
4. Home Phone: (
)________________
Birth Place: ________________________________________________
City
State
5. Address after Marriage: __________________________________________________________________________
Street
City
State
Zip Code
6. Father's Name: _______________________________________
Is Your Father Deceased? Yes____
No____
Last
First
7. Mother's Maiden Name: _________________________________
Is Your Mother Deceased? Yes____
No____
Last
First
8. Parent's Address(es): ____________________________________________________________________________
Street
City
State
Zip Code
9. Your Occupation: ____________________________________
Work Phone: (
)________________
10. Your Employer: _________________________________________________________________________________
11. Have you been previously married?
Yes_____
No_____
How many times?____________
12. Name of First Spouse: ___________________________________________________ Deceased ( )
Divorced ( )
First and Last Name at Time of Marriage
Names and Ages of Minor Children by this Marriage: ____________________________________________________
______________________________________________________________________________________________
13. Name of Second Spouse: _________________________________________________ Deceased ( )
Divorced ( )
First and Last Name at Time of Marriage
Names and Ages of Minor Children by this Marriage: ____________________________________________________
______________________________________________________________________________________________
14. Name of Third Spouse: ___________________________________________________ Deceased ( )
Divorced ( )
First and Last Name at Time of Marriage
Names and Ages of Minor Children by this Marriage: ____________________________________________________
______________________________________________________________________________________________
15. Name and Title of Person to Perform the Ceremony: ____________________________________________________
Date set for the Ceremony: _______________________________
Crensch$\forms \marriageapplicationgroom.doc
7/26/01
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