Marriage License Form - County Of Pima - Arizona printable pdf download

Marriage License Form - County Of Pima - Arizona

IN THE SUPERIOR COURT OF THE STATE OF ARIZONA

IN AND FOR THE COUNTY OF PIMA

IN THE MATTER OF THE APPLICATON OF

LICENSE NO._____________

_________________________________

AND

_________________________________

FOR A LICENSE TO MARRY

AFFIDAVIT FOR

MARRIAGE LICENSE

STATE OF ARIZONA

County of Pima

I, ______________________, being first duly sworn upon my oath, do depose and

declare that ___________________ is my true name; that my date of birth is _________;

(Date of Birth)

that my social security number is _______________; that I reside at __________,______;

(Social Security Number)

(City)

(State)

That I am not related to ________________ as prohibited by ARS 25-101; and, that I

understand that information on sexually transmitted diseases is available from the County

Health Department on request and that these diseases may be transmitted to my unborn

children.

________________________

Subscribed and sworn to me on:

SIGNATURE OF APPLICANT

____________________

TONI L HELLON, CLERK OF THE SUPERIOR COURT

BY:______________________, DEPUTY CLERK

STATE OF ARIZONA

County of Pima

I, ______________________, being first duly sworn upon my oath, do depose and

declare that ___________________ is my true name; that my date of birth is _________;

(Date of Birth)

that my social security number is _______________; that I reside at __________,______;

(Social Security Number)

(City)

(State)

That I am not related to ________________ as prohibited by ARS 25-101; and, that I

understand that information on sexually transmitted diseases is available from the County

Health Department on request and that these diseases may be transmitted to my unborn

children.

________________________

Subscribed and sworn to me on:

SIGNATURE OF APPLICANT

______________________

TONI L HELLON, CLERK OF THE SUPERIOR COURT

BY:_____________________, DEPUTY CLERK

__________________________________

_______________________

___________________

(APPLICANT STREET ADDRESS)

(CITY,STATE,ZIP)

(DAYTIME PHONE)

The Social Security number provided to the Superior Court on this marriage License application will be maintained

according to the provisions of A.R.S 25-121(C)

Pursuant to A.R.S. 25 121 (B) the Marriage License expires one (1) year from the date of issuance

Marriage License Form - County Of Pima - Arizona

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