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Get and Sign Divorce Certificate PDF 2016-2022 Form
(MM/DD/YY)
or annulment (Specify)
Elementary/Secondary
(0 - 12)
9b. Middle Name
9c. Last name before first marriage,
College
(13-16 or 17+)
9d. Last Name
if applicable
10a. RESIDENCE - CITY, TOWN OR LOCATION
M
10b. COUNTY
F
11. BIRTHPLACE (State or Foreign Country)
10c. STATE
13. NUMBER OF THIS
MARRIAGE - First,
Second, etc. (Specify)
14. IF NOT FIRST MARRIAGE, LAST MARRIAGE ENDED:
19. DATE COUPLE LAST RESIDED IN SAME HOUSEHOLD
(MM/DD/YY)
17b. COUNTY
23. I CERTIFY THAT THE...
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