Dispensation From The Form /place Of A Marriage

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DIOCESE OF FALL RIVER
DISPENSATION FROM THE
FORM /PLACE OF A MARRIAGE
,
19
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .
To the Reverend Chancellor:
, aged
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . .
(Print Name in Full)
residing at
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Street Address and City / Town, State)
a Catholic of this
parish,
Diocese ,
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
wishing to marry
, aged
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . .
(Print Name in Full)
residing at
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Street Address and City / Town, State)
Church,
a non-Catholic, unbaptized, baptized in the
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
humbly petitions the Most Reverend Bishop to grant a dispensation
from the canonical form of marriage entirely.
. . . . . .
from place, so that a Catholic priest may marry the couple in other
. . . . . .
than a Catholic church.
The circumstances and reasons are as follows:
To achieve family harmony or to avoid family alienation;
. . . . . .
To obtain parental agreement to the marriage;
. . . . . .
To recognize the significant claims of relationship or special
. . . . . .
friendship with a non-Catholic minister;
To permit the marriage in a church that has particular importance
. . . . . .
to one of the parties;
Other
(Please Specify):
. . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
I testify to the serous nature of this request.
Pastor / Assistant
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Church
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
, Massachusetts
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CONFER REVERSE SIDE

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