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Form preview New york form cc2002b Call 311 or 212 NEW YORK if outside New York FORM CC2002B 7/12/11 INSTRUCTIONS Complete this form. Be sure to check off the appropriate sworn statement and sign in the signature block. Check form desired D Short form D Extended form D Other THE CITY OF NEW YORK OFFICE OF THE CITY CLERK MARRIAGE LICENSE BUREAU MAIL REQUEST FOR MARRIAGE RECORDS From 1930 to present NOTE Marriage records less than fifty 50 years old will be released only a to parties to the marriage b to persons presenting written authorization from one of the parties to the marriage or c to attorneys in cases where such records are required as evidence When making a request attorneys on their official stationery must indicate the party or parties that they represent the nature of any pending action and make an affirmative statement that such records are required as evidence in such proceedings. PRINT CLEARLY IN BLACK INK Date of marriage ceremony Month Day Year Borough where the license was issued If uncertain specify other years you want searched License number Spouse 1 Full legal name before marriage Birth date Number of copies requested Reason search copy are needed Name of person requesting search Your address Your relationship to either spouse Street Your telephone no City State Zip Code I solemnly swear under penalty of perjury that the foregoing information is true and correct and CHECK ONE BOX ONLY I am a party to the marriage. EITHER SPOUSE The written authorization from a party to the marriage is a genuine request from such party and such party has authorized me to request and receive such records. THIRD PARTY WITH WRITTEN AUTHORIZATION ONLY I am an attorney in good standing or a representative thereof and such records are required as evidence in a legal proceeding. ATTORNEYS OR THEIR REPRESENTATIVES ONLY I am the spouse or prospective spouse of the above-named person and I am not divorced from such person* SPOUSE OR PROSPECTIVE SPOUSE ONLY I am the relation of the above-named person and the marriage record will be used for a proper purpose. RELATIVE OF EITHER SPOUSE I am a law enforcement officer or and the marriage record will be used for a proper purpose. LAW ENFORCEMENT PERSONNEL ONLY X Date Signature DO NOT PRINT Records from 1866 to 1929 can be obtained from the Municipal Archives 31 Chambers Street Rm* 103 New York NY 10007. No request will be processed without a signed sworn statement. Enclose a photocopy of your identification* Acceptable forms of identification are driver s license issued by any state of the USA or its territories including learner s permit Non-driver s identification card issued by any state of the USA or its territories active U* S* military ID passport permanent resident card green card employment authorization card issued by the Bureau of Immigration and Customs of the Department of Homeland Security and Certificate of Naturalization issued less than ten years ago. You should copy the pages in the passport with your picture and personal information* Enclose the appropriate fee and mail to City Clerk of New York 141 Worth Street New York NY 10013 Att Record Room Fee Schedule All fees are payable in advance by United States postal money order or money order/certified check drawn on a United States bank or other financial institution and payable in U*S* currency to The City Clerk of New York.
Form preview Blank registration forms templ... Little League Player Registration Form Player name Address Birthdate Gender City/State/Zip League Age/ Fee Home phone My child will tryout for Email Parent 1 Amount Baseball Softball Name Phone Age Occupation Volunteer If checked fill out Volunteer Application Medical Information Emergency contact League Use Only Birth Certificate Yes Proof of Residency No Medical Release Form Waiver needed Relationship to player Insurance carrier Level Assigned Policy Team Name 1. I/We the parents/guardians of the above-named candidate for a position on a Little League team 6. I/We agree to provide proof of legal residence as defined by Little League Baseball hereby give my/our approval to participate in any and all Little League activities including transportation to Incorporated and age. I/We understand that our child candidate must be eligible under the and from the activities. residence and age regulations of Little League Baseball Incorporated to participate in this Local League and that if any controversy arises regarding residence and/or age the 2. I/We know that participation in baseball or softball may result in serious injuries and protective equipment does not prevent all injuries to players and do hereby waive release absolve indemnify and decision of the Charter Committee in Williamsport shall be final and binding. I/We further understand that if any participant on a Little League team does not qualify for participation in agree to hold harmless the local Little League Little League Baseball Incorporated the organizers sponsors supervisors participants and persons transporting my/our child to and from activities from any the league based on residence as defined by Little League Baseball Incorporated and/or age such participant and/or team on which he/she participates be found ineligible and claim arising out of any injury to my/our child whether the result of negligence or for any other cause. forfeit s and/or suspension of Tournament privileges may be decreed by action of the Charter Committee or Tournament Committee. conditions as when received except for normal wear and tear. 7. I/We will furnish a certified birth certificate of the above-named candidate to League 4. I/We agree that our child candidate may be required to try out for a team* If such does not attend at Officials. least 50 percent of the tryouts local Board-of -Directors approval is required for such candidate to be placed on a team* 5. I/We understand that our child candidate may be chosen at anytime to play on a Major Division team if he or she is of the correct age for such division as determined by the local league and Little League Baseball* Declining to move up to such Major Division team will result in forfeiture of eligibility for the Major Division for the current season and may be subject to further restrictions by the local league. I/We the parents/guardians of the above-named candidate for a position on a Little League team 6. I/We agree to provide proof of legal residence as defined by Little League Baseball hereby give my/our approval to participate in any and all Little League activities including transportation to Incorporated and age. I/We understand that our child candidate must be eligible under the and from the activities. residence and age regulations of Little League Baseball Incorporated to participate in this Local League and that if any controversy arises regarding residence and/or age the 2.

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