Application For A Temporary Certificate Of Permission To Perform Marriages Form - Nevada
Download a blank fillable Application For A Temporary Certificate Of Permission To Perform Marriages Form - Nevada in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Application For A Temporary Certificate Of Permission To Perform Marriages Form - Nevada with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1County of Lincoln, State of Nevada
Application for a Temporary Certificate of Permission to Perform Marriages in the State of Nevada
Date of Wedding to be Performed ______________________
1. ______________________________________________________
______________________________________________
Full name of Applicant
Nickname or Aliases Used
2. ____________________________________________________________________________________________________________
Full Residence Physical Address
3. ____________________________________________________________________________________________________________
Mailing Address, if Different
4. ______________________________
_________________________________________
______________________
Date of Birth
Place of Birth
Social Security Number
5. Home Telephone Number ______________________________
Church Telephone Number ___________________
6. Date of Licensure/Ordination _______________________________________.
7. Name & Address of the Denomination & Church or religious organization you are currently affiliated with: ______
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
8. Name & address of the local congregation where you are currently stationed: ________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
9. Physical address where services are held: ___________________________________________________________________
10. Number of adult members in your local congregation ____________________________.
11. Are you in good standing with the religious organization with which you are currently affiliated? ______________
12. Have you ever been convicted of a felony or of a crime involving moral turpitude? __________________________
If yes, specify Date of Conviction __________ Place of Conviction ____________ Charges ______________________
13. Have you ever been arrested for any reason within the last 10 years? ________________________________________
If yes, specify Date of Arrest _______________ Place of Arrest _________________ Charges ______________________
14. Have you ever been fingerprinted? __________ When __________ Where _____________________________________
STATE OF ________________________________)
) ss:
COUNTY OF _____________________________)
_______________________________________________, being first duly sworn according to law, deposes and says: That
__he is the Applicant in the above Application for a Temporary Certificate to Perform Marriages in the State of
Nevada; that __he has read the foregoing Application and knows the contents thereof: that the same are true of
his/her own knowledge, except for such matters therein stated on information and belief, and as to those matters
__he believes them to be true.
______________________________________________
Signature of Applicant
SUBSCRIBED AND SWORN TO BEFORE ME
this _____ day of _________________, 2005.
_______________________________________
Notary Public
ADVERTISEMENT
0 votes
Related Articles
Related forms
Application For An Amended Certificate Of Authority To Transact Business In Virginia Form - Commonwealth Of Virginia
Legal
Form Scc760/922 - Application For An Amended Certificate Of Authority To Transact Business In Virginia
Business
Related Categories
Parent category: Business