Application For Waiver Of The 3-Day Waiting Period

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In the District Court of the State of Iowa, in and for
County
In re: the Application for Marriage License of:
Name
Address
Age
to
Name
Address
Age
APPLICATION FOR WAIVER OF THE 3-DAY WAITING PERIOD
Come now the undersigned applicants and state to the Court that for certain reasons as set out below they
were unable to make Application for a Marriage License prior to this time. The Applicants further state to the
Court that they desire to be married on the _______ day of __________________________,
____________, and that Application has not been made prior to this time for the following reasons:
WHEREFORE, the Applicants pray the Court enter an Order as Provided by Section 595.4 of the Code
of Iowa waiving the three day waiting period and directing the County Registrar of Vital Records to issue the
License forth.
Dated on this _______ day of ___________________________________, ______________.
Applicant
Applicant
ORDER OF COURT
Now on this __________ day of ______________________________, _____________, the above
Application came on for hearing and the Court, having reviewed the Application and hearing the Applicants,
finds that it should be granted.
THEREFORE, it is hereby Ordered that the three day waiting period be waived and the County
Registrar of Vital Records is Ordered to issue a License forthwith to the Applicants.

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