Application For Marriage License Form - Montgomery County, Alabama
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1STATE OF ALABAMA
Book #_____________Page # ____________________
(This is not a Marriage License)
APPLICATION FOR MARRIAGE LICENSE, MONTGOMERY COUNTY
Date of Marriage______________________________
The undersigned respectfully applies for marriage license for the following parties, and being duly sworn, on oath, states that the answers to the following questions concerning said
** VALID ONLY FOR MARRIAGES PERFORMED IN ALABAMA-LICENSE MUST BE USED WITHIN 30 DAYS OF ISSUANCE**
parties are true to the best of his/her knowledge, information, and belief, to-wit:
FIRST SPOUSE INFORMATION
SECOND SPOUSE INFORMATION
First Name
Middle Name
Last Name
Suffix
First Name
Middle Name
Last Name
Suffix
________________________ ______________________ ___________________________ ____________
_____________________ _________________ __________________________ ________________________
Last Name Prior To First Marriage (If Different)
State Or Foreign Country of Birth
Last Name Prior To First Marriage (If Different)
State Or Foreign Country of Birth
______________________________________________________ ____________________________________
____________________________________________________ ________________________________________
Date of Birth
Age
Race
Sex (M/F)
Date of Birth
Age
Race
Sex (M/F)
Male
Male
______/______/_________
______________________ ___________________________ ____________
____/____/________
_________________
_______________________ ________________________
Zip Code
Complete Address
Zip Code
Complete Address
________________________ _________________________________________________________________
_________________
_______________________________________________________________________
City
County
State
In City Limits
City
County
State
In City Limits
Yes
Yes
________________________ ______________________ ______________
________________________
_________________
__________________
__________________
________________________
# of Marriages
How Dissolved?
Dissolved Date
State
# of Marriages
How Dissolved?
Dissolved Date
State
Divorce
Divorce
________________________ __________________
_____/______/______ ______________________
_________________
_________________
_____/______/______
________________________
High School
#College (Yrs.) Contact Phone#
High School
#College (Yrs.)
Contact Phone#
Enter last grade completed for high school and # years attended for college.
Enter last grade completed for high school and # years attended for college.
________________
_________________ (_______) _______________________
_________________
_________________
(_______) ____________________
First Spouse-Father’s Name
First Spouse-Mother’s Maiden Name
Second Spouse-Father’s Name
Second Spouse-Mother’s Maiden Name
_________________________________________
______________________________________________
_________________________________________
________________________________________________
Mailing Address
____________________________________________________________________________________________ ____________________________________________________________________________________________________
____________________________________________________________________________________________
City
State
Zip
YOUR CERTIFICATE WILL BE MAILED TO THIS ADDRESS
________________________________________
________________________
_________________
________________________________________________________________________________________________________________________________________________
We certify that the information provided is correct to the best of our knowledge and belief and we are free to marry under the laws of this state.
Signature of First Spouse
Signature of Second Spouse
DEPARTMENT USE ONLY
First Spouse ID
Payment: Cash
Check
Visa
Mastercard
CLERK:_____________________________
Second Spouse ID
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Parent category: Legal