Fillable Marriage License Application Form printable pdf download

Marriage License Application Form

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Marriage License Application

Home #: ____________________

Approved By: __________ Date: __________

[This is not a Marriage License]

Cell #:

____________________

Book #: __________ Page #: __________

101

State File Number

1. Issuing County

* Full Name, No Initials *

MOBILE

2. Groom s Name

First

Middle

Last

3. Date of Birth

4. Race

(Month, Day, Year)

(Black, White, Hispanic, Asian, etc)

5. Residence (Street Address, City, State, Zip)

6. Inside City Limits

7. County

8. State

9. Number of Previous Marriages

(

Yes

Yes or No)

10. If Previously Married; Marriage Ended by:

11. Education

12. Social Security Number

(Specify ONLY the highest grade completed)

Death, Divorce, Dissolution, Annulment & Include Approximate Date

Elementary or High School

Years in College:

(0 12)

____ ____ ____ - ____ ____ - ____ ____ ____ ____

13. Father s Name

First

Middle

Last

14. Mother s Name

First

Middle

Maiden Last Name

15. Bride s Name

First

Middle

Last

16. Bride s Maiden Last Name (if different)

17. Date of Birth

(Month, Day, Year)

18. Race (Black, White, Hispanic, Asian, etc)

19. Residence (Street Address, City, State, Zip)

20. Inside City Limits

(Yes or No)

Yes

21. County

22. State

23. Number of Previous Marriages

24. If Previously Married; Marriage Ended by:

Death, Divorce, Dissolution, Annulment & Include Approximate Date

25. Education

26. Social Security Number

(Specify ONLY the highest grade completed)

Elementary or High School

Years in College:

(0 12):

____ ____ ____ - ____ ____ - ____ ____ ____ ____

27. Father s Name

First

Middle

Last

28. Mother s Name

First

Middle

Maiden Last Name

We hereby certify that the information provided is correct to the best of our knowledge and belief and we are free to marry under the laws of this state.

29. Groom s Signature

30. Bride s Signature

Groom

Identification

Bride

(For Office Use Only)

DL: _______________________

BC: _______________________

Other: ____________________