Affidavit In Lieu Of Personal Appearance For Marriage License Application Form

AFFIDAVIT IN LIEU OF PERSONAL APPEARANCE

FOR MARRIAGE LICENSE APPLICATION

________________________________(Applicant) appearing before the undersigned Notary Public, and being duly sworn, says that:

1. I, _______________________________________ (Applicant's name) am applying for a license in _________________ County,

North Carolina, to marry ______________________________ (name of other applicant) in North Carolina within the next 60 days

and I am authorized under G.S. 51-8.2 to complete this Affidavit in Lieu of Personal Appearance for Marriage License Application.

I attach:

(1) Documentation that I am over 18 years of age as required by county of issuance;

(2) (2) If previously married, documentation of divorce as required by county of issuance;

2. I submit the following information in applying for a marriage license:

Name: ____________________________________________________________________________________________________

First

Middle

Last

Residence State __________________________________ Social Security Number ______________________________________

(If applicant does not have SS # attach affidavit of

ineligibility)

County of Residence ________________________________ City ________________________________ City Limits: Yes / No

Street Address ______________________________________________________________________________________________

Birthplace (County & State) ______________________________ Date of birth ______________________ Age ___________

Fathers Name ______________________________________________________ State of birth _______________________

Address (If Living) __________________________________________________ or Deceased ________________________

Mothers Maiden Name _______________________________________________ State of birth ________________________

Address (If Living) __________________________________________________ or Deceased ________________________

Race (Optional) __________ Number of this Marriage ______ Last Marriage Ended by: Divorce/Death/Annulment (circle one)

Date of (divorce/death/annulment): _______________________ Education: (Circle One) Elementary High School College

(Optional)

(l,2,3,4,..8)

(1,2,3,4)

(1,2,3,4,5)

I hereby make application to the Register of Deeds for a Marriage License and solemnly swear that all of the statements contained in

the above application are true and I further make oath that there is no legal impediment to such marriage.

____________________________________________________________________ Signature of Applicant

Sworn to (or affirmed) and subscribed before me, this ________ day of _______________________________ , ________________ .

My commission expires

____________________________

______________________________________________

Notary Public

For Register of Deeds Use Only: (Optional) ______________________________________________ (Signature of other applicant)

Affidavit In Lieu Of Personal Appearance For Marriage License Application Form - North Carolina