P
I
F
C
C
RENUPTIAL
NVESTIGATION
OR
ATHOLIC
HURCHES
I
T
S
O
N
J
N
HE
TATE
F
EW
ERSEY
Form A-4 concerns a couple who is convalidating a civil marriage not valid according to Church law.
The Names of the Parties who are Requesting Catholic Church Validation of a Marriage
Name of Groom: ______________________________
Name of Bride: _______________________________
Form
A-4
C
ONVALIDATION
l
l
1. Do you have a civil record of your marriage to one another?
yes
no
(If so, include a copy of the civil marriage record. If not, the couple should obtain one.)
2. Why did you not originally marry before a Catholic priest or deacon?
___________________________________________________________________________________________
3. Please answer the following questions in regard to your requested convalidation:
S
O
T
G
:
TATEMENT
F
HE
ROOM
l
l
a. Do you promise to answer truthfully?
yes
no
b. Do you understand that your current marriage is not
l
l
a valid marriage in the eyes of the Catholic Church?
yes
no
l
l
c. Are you now free to marry one another?
yes
no
d. Do you understand that, within yourself, you will need to
make a new act of consent in order to establish marriage
l
l
with one another?
yes
no
l
l
e. Do you intend to exchange such new consent with your spouse?
yes
no
S
O
T
B
:
TATEMENT
F
HE
RIDE
l
l
a. Do you promise to answer truthfully?
yes
no
b. Do you understand that your current marriage is not
l
l
a valid marriage in the eyes of the Catholic Church?
yes
no
l
l
c. Are you now free to marry one another?
yes
no
d. Do you understand that, within yourself, you will need to
make a new act of consent in order to establish marriage
l
l
with one another?
yes
no
l
l
e. Do you intend to exchange such new consent with your spouse?
yes
no
____________________________________
____ / ____ / ____
______________________________________
SIGNATURE OF THE GROOM
DATE
SIGNATURE OF THE BRIDE
9/03