Form Ma - Pre-Nuptial Investigation
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1
2FORM MA
07/01/2014
D
C
IOCESE OF
HEYENNE
Post Office Box 1468
Cheyenne, Wyoming 82003-1468
307-638-1530
Fax: 307- 637-7936
O
T
FFICE OF THE
RIBUNAL
PRE-NUPTIAL INVESTIGATION
Each party must be interviewed alone. The pastor or his delegate will propose the questions and write the given answers.
The pastor or his delegate, having reminded the party of the sacred character and binding force of an oath,
will ask: “Do you solemnly swear to tell the truth and nothing but the truth in answering the questions that
shall be proposed to you, so help you God?”
Indicate the party’s response to the oath: __________________________________
1.
Your full name (Maiden Name, if different): ____________________________________________________
Address: _________________________________________________________________________________
City, State, ZIP: ___________________________________________________________________________
How long have you lived at this address? _________________
Best Phone Number: __________________________________________________ (Type: Home, Cell, Work)
Email Address: ___________________________________________________________________________
Occupation: ______________________________________________________________________________
2.
Your religion: ______________________ If Catholic, which Rite/Church sui iuris: ____________________
Your parish: ________________________ Your (Arch)diocese: ____________________________________
3.
Date and Place of Birth (City, State): __________________________________________________________
Father’s
Mother’s
Name: (F M L) _______________________________
Maiden Name: ________________________________
Address: ____________________________________
Address: _____________________________________
____________________________________
_____________________________________
Religion: ____________________________________
Religion: ____________________________________
4.
Were you ever baptized? ___________________________ In what religion? ________________________
Date: __________________ Church: _________________ Place (City, State): ____________________
5.
If you were received into the Catholic Church by a Profession of Faith, please provide the following:
Date: __________________ Church: _________________ Place (City, State): ____________________
(A Catholic must present a baptismal certificate or certificate of profession of faith issued within the past 6 months.)
Questions 6 through 10 are asked only of Catholics.
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□
6.
Have you made your First Holy Communion?
Yes
No
□
□
7.
Have you been confirmed?
Yes
No
Date: __________________ Church: _________________ Place (City, State): ____________________
8.
How would you describe your participation in the Sacraments (attendance at Mass, reception of the Sacraments
of Penance and Eucharist)?
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9.
(For a Catholic man) Have you received the Sacrament of Holy Orders?
Yes
No
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