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(ARCH) DIOCESE OF _________________________________________

PETITION for a CANONICAL DISPENSATION or PERMISSION

for a MIXED MARRIAGE

NOTE: Type or print clearly.

MIXED MARRIAGE DECLARATION and PROMISE

The undersigned requests for the following persons:

1) A permission to marry a baptized non-Catholic (Canon 1124); a Catholic who has notoriously

rejected the Faith (Canon 1071, §2) or a lapsed Catholic; and a dispensation from the

__________________________________________, a Catholic with domicile or quasi-domicile

Impediment of Disparity of Worship/Cult to marry a non-baptized person (Canon 1086) requires

that this form be completed in compliance with Canons 1125-1126 as follows:

in our (Arch) Diocese, of ________________________________________________________.

The Catholic must be informed fully of his/her grave obligation to safeguard, preserve and

(Parish)

profess the Catholic faith and to have all children baptized and educated in the faith (Canon

1125, 1º). So that mutual understanding may be achieved and possible disharmony avoided, the

and _________________________________________________________, a non Catholic who

non-Catholic must be informed in clear terms of the declaration, promise, responsibility and

obligation of the Catholic (Canon 1125, 2º). Both the Catholic and non-Catholic must be

has never been baptized.

instructed about the purposes and essential properties of marriage (Canons 1055-1056) which

was baptized in the __________________________________ church (denomination).

neither of the two persons is to exclude (Canon 1125, 3º).

Dispensation:

2) It is forbidden to have another religious marriage ceremony before or after any Catholic

marriage ceremony. (Canon 1127, §3)

Impediment of Disparity of Worship/Cult (to marry a non-baptized person, c. 1086, §2).

3) A non-Catholic minister may participate in the Catholic marriage ceremony, read from the

Impediment of _________________________________________________________

Scriptures, give a brief exhortation and bless the couple, but with the understanding that only the

(Age; Abduction; Public Propriety; Adoption. With Consanguinity or Affinity, draw a

Catholic priest/deacon presides, reads the Gospel and preaches the homily, and receives the

diagram on a separate sheet indicating the relationship.)

consent of both parties. (Canon 1127, §3)

Permission:

DECLARATION and PROMISE of the CATHOLIC

To marry a baptized non-Catholic (Canon 1124), with a dispensation from Disparity of

Worship/Cult, if needed (Canon 1086, §2).

I reaffirm my faith in Jesus Christ and with God’s help I intend to continue living that faith in the

Catholic Church. (Canon 1125, 1º)

To marry a Catholic who has notoriously rejected the Faith (Canon 1071, §1, 4º) or

to marry a lapsed Catholic.

I promise to do all in my power to share the faith I have received with our children by having

them baptized and reared as Catholics. (Canon 1125, 1º)

+For a marriage ceremony in a non-Catholic church or oratory. (Canon 1118, §2)

For a minister of ________________________________ to participate in the Catholic

(Indicate religious affiliation.)

marriage ceremony (see #3).

Orally Professed

____________________________________________

(Check if applicable.)

Signature of the Catholic

Permission (with a required letter to the (Arch) Bishop stating reasons for request):

For a marriage of a minor child whose parents are unaware of it or are reasonably

DECLARATION of the PRIEST or DEACON (or his Designate)

opposed to it. (Canon 1071, §1, 6º)

I hereby attest that both persons have been duly instructed according to the norms of canon

For a marriage to be entered by means of proxy as noted in canon 1105 (c.1071,§1,7º)

law, that the declaration and promise above have been made sincerely by the Catholic in my

presence, that the non-Catholic has been informed of the promise and obligation of the Catholic,

+For a marriage ceremony in a suitable place outside a sacred space. (c. 1118, §2,§3)

and that there appears to be no grave danger to the faith of the Catholic.

+With a Catholic priest/deacon who receives the consent of both parties.

_____________________________________________________________________________

____________________________________________

____________________________

I urge that this permission/dispensation be granted for the following reason(s):

Signature of Priest or Deacon or

Other

Date signed

Spiritual welfare of the couple and the faithful.

Note:

Forward this completed petition to the Tribunal/Chancery.

Well founded hope for the non-Catholic to become a Catholic.

If this dispensation/permission(s) is not used within 3 months of the scheduled, Catholic

Danger of an attempted invalid marriage outside the Catholic Church.

marriage ceremony date, return it to the Tribunal/Chancery for cancellation.

_____________________________________________________________________________

Other: ________________________________________________________________

The request for the dispensation/permission(s) in this petition is granted.

______________________________________

____________________________________

Signature of

Priest or

Deacon or

Other

Parish

____________________________________________

____________________________

______________________________________

____________________________________

Signature of Local Ordinary

Date signed

Type/print name

City/State

Or Delegate of the (Arch) Bishop

***Seal of the (Arch) Diocese***

______________________________________

***PARISH SEAL***

Form III A--Revised May 2009

Date signed

Form Iii B(2) - Petition For A Canonical Dispensation Or Permission For A Mixed Marriage

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