Notice Of Parental/guardian Consent To A Marriage - Maine Department Of Health And Human Services

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State of Maine
Department of Health and Human Services
Notice of Parental/Guardian Consent to a Marriage
(Required for all parties less than 18 years of age)
Municipal Clerk Instructions: Enter name of Party A and Party B in appropriate space. If consent is needed for only one party,
only complete the section that applies.
Instructions to Parent(s) or Guardian(s): Both parent(s) or guardian(s) must sign in the presence of a notary public or municipal
clerk, otherwise consent will not be considered as given and the License of Marriage will not be issued.
Consent for Party A
We hereby give consent to the marriage of Party A to Party B.
(Name as shown on page 1 of the Marriage Intentions, Form VS2-A)
Party A Current Full Name (First Name, Middle Name(s), Current Last Name, Suffix)
Signature of Father/Parent or Guardian
Signature of Mother/Parent or Guardian
►
►
Printed Name of Father/Parent or Guardian
Printed Name of Mother/Parent or Guardian
Signature of Notary Public/Municipal Clerk
Signature of Notary Public/Municipal Clerk
►
►
Printed Name of Notary Public/Municipal Clerk
Printed Name of Notary Public/Municipal Clerk
Date Commission Expires County/State
Date Commission Expires County/State
Consent for Party B
We hereby give consent to the marriage of Party B to Party A.
(Name as shown on page 1 of the Marriage Intentions, Form VS2-A)
Party B Current Full Name (First Name, Middle Name(s), Current Last Name, Suffix)
Signature of Father/Parent or Guardian
Signature of Mother/Parent or Guardian
►
►
Printed Name of Father/Parent or Guardian
Printed Name of Mother/Parent or Guardian
Signature of Notary Public/Municipal Clerk
Signature of Notary Public/Municipal Clerk
►
►
Printed Name of Notary Public/Municipal Clerk
Printed Name of Notary Public/Municipal Clerk
Date Commission Expires County/State
Date Commission Expires County/State
Note: If one parent has sole custody, because of the death of the other parent or because of a court judgment, then only the consent
of that parent is required. Proof of death of the other parent or proof of court judgment granting sole custody is required to be
presented to the clerk, prior to the issuance of the license. Guardian(s) must provide proof of guardianship by presenting the court
decree.
Parent/Guardian Consent to Marriage 032017

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