Application For Copy Of North Carolina Marriage License
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1APPLICATION FOR COPY OF NORTH CAROLINA
MARRIAGE LICENSE
WATAUGA COUNTY
REGISTER OF DEEDS
COURTHOUSE, SUITE 9
842 WEST KING STREET
BOONE, NC 28607
(828) 265-8034
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PLEASE PRINT:
Full Name of Groom or Applicant 1:___________________________________________
First Name
Middle Name
Last Name
Full Maiden Name of Bride or Applicant 2:
________________________________________________
First Name
Middle Name
Last Name
Date of Marriage:
Place of Marriage:
_________________________________
__________________________
Month
Day
Year
City
County
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YOUR RELATIONSHIP TO THE PERSON WHOSE CERTIFICATE IS REQUESTED
(Check appropriate relationship):
Self
Child/Step-child
Authorized agent, attorney or legal
representative of the person listed
Spouse
Parent/Step-parent
(Proof required)
Brother/Sister
Grandparent/Grand-child
Other _________________________
I hereby certify that all the above information is true to the best of my knowledge.
NOTE: IT IS A VIOLATION OF NORTH CAROLINA LAW (G.S. 130A-96) TO MAKE A FALSE
STATEMENT ON THIS APPLICATION OR TO UNLAWFULLY OBTAIN A CERTIFIED COPY
OF A MARRIAGE CERTIFICATE.
____________________________________________
_____________________
Signature of Person Applying for Certificate
Date
______________________________________________
(______) ______________
Address (Street or PO Box, City, State and Zip Code
Telephone Number
A PHOTO COPY OF YOUR PICTURE ID MUST BE SENT WITH THIS REQUEST.
THERE IS A $10.00 FEE FOR EACH CERTIFIED COPY.
THIS FEE MUST ACCOMPANY THIS REQUEST.
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