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Marriage License Application Form 2013
Current Name (if different) 1. Name (First, Middle, Last) (List name given at birth or on birth certificate) Street Address (Current Legal Residence) (See Note 1) Zip Code Municipality of Residence (See Note 4) 2. Date of Birth 3. Birthplace 4. Sex M Zip Code 2. Date of Birth 5. Age(See Note 2) 3. Birthplace 4. Sex M F Date State 1a. Current Name (if different) 6. Domestic Status (at this time) (See Notes 3 and 5) County 5. Age(See Note 2) F 6. Domestic Status (at this...Show details
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