Commonwealth Of Virginia Application For Marriage

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COMMONWEALTH OF VIRGINIA
APPLICATION FOR MARRIAGE LICENSE
CLERK’S NUMBER
CIRCUIT COURT FOR CITY OR COUNTY OF
ALEXANDRIA
(First)
(Middle)
(Last)
1. FULL NAME
Maiden Surname
1a. Sex
1b. SOCIAL SECURITY #
(if different)
2. AGE
3. DATE OF BIRTH
4. PLACE OF BIRTH
(Month, Day, Year)
(state or foreign country)
Years
CIRCLE
5. RACE
6. NUMBER OF THIS MARRIAGE
7. MARITAL STATUS
(if previously married)
ONE:
(first, second, etc.)
WIDOWED
DIVORCED
College (1-4 or 5+)
8. EDUCATION
9a. USUAL RESIDENCE: Street Address or Rt. Number
Elementary or Secondary
Bride
(Specify highest
(0-12)
grade completed only)
9b. CITY OR TOWN OF RESIDENCE
9c. COUNTY
9d. STATE (or Foreign Country)
(If independent city, leave blank)
Groom
Spouse
10. FULL NAME OF PARENT
10a. Sex
11. FULL NAME OF PARENT
11a. Sex
(maiden name if any)
(maiden name if any)
12. FULL NAME
(First)
(Middle)
(Last)
Maiden Surname
12a. Sex
12b. SOCIAL SECURITY #
(if different)
13. AGE
14. DATE OF BIRTH
15. PLACE OF BIRTH
(Month, Day, Year)
(state or foreign country)
Years
CIRCLE
16. RACE
17. NUMBER OF THIS MARRIAGE
18. MARITAL STATUS
(if previously married)
ONE:
(first, second, etc.)
WIDOWED
DIVORCED
19. EDUCATION
College (1-4 or 5+)
20a. USUAL RESIDENCE: Street Address or Rt. Number
Elementary or Secondary
Bride
(Specify highest
(0-12)
grade completed only)
20b. CITY OR TOWN OF RESIDENCE
20c. COUNTY
20d. STATE (or Foreign Country)
(If independent city, leave blank)
Groom
Spouse
21. FULL NAME OF PARENT
21a. Sex
22. FULL NAME OF PARENT
22a. Sex
(maiden name if any)
(maiden name if any)
WE HEREBY MAKE APPLICATION TO THE CLERK OF THE ABOVE NAMED COURT FOR A
MARRIAGE LICENSE AND SOLEMNLY SWEAR OR AFFIRM THAT ALL OF THE STATEMENTS ABOVE
ARE TRUE. WE FURTHER MAKE OATH THAT NEITHER OF THE PARTIES NAMED ABOVE WHO ARE
TO BE MARRIED IS LEGALLY INCOMPETENT, CURRENTLY MARRIED, NOR ARE WE RELATED TO
EACH OTHER TO A PROHIBITED DEGREE. Chapter 3, Title 20, Code of Virginia
PLEASE READ THE TYPED LICENSE CAREFULLY. CORRECTIONS
OR CHANGES AT A LATER DATE WILL REQUIRE A PETITION AND
EVIDENCE BEFORE THE COURT AND APPROPRIATE FILING FEES

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