Petition For Dispensation Or Permission Form B Catholic Diocese Of Fargo
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1
2No.____________________
PETITION FOR DISPENSATION
Disp/Perm______________
Diocese of Fargo
OR PERMISSION
5201 Bishops Blvd Ste. A
By_____________________
Fargo, ND 58104-7605
FORM B
Date Granted____________
*Please Print All Fields*
Diocesan Use Only
__________________________
____________________________
Today’s Date
Wedding Date
________________________________________________, age ______, a Catholic who is a member of the parish of
Catholic Name (First, Middle, Last)
_______________________________, ____________________, _____ who was baptized on _______________, at
Parish Name
City
State
Baptismal Date
______________________________, ____________________________, _____ wishing to marry
Baptismal Parish Name
City
State
________________________________________________, age ______, who is:
nd
2
Party Name (First, Middle, Last)
BAPTISMAL STATUS:
Not baptized
Baptized Catholic
Baptized non-Catholic
Doubtfully baptized
Baptized Catholic who left the Catholic faith
by a formal act or notoriously rejected
it between Nov. 27, 1983 and Oct. 26, 2009
I. PETITIONS A DISPENSATION FROM THE IMPEDIMENT OF:
Disparity of Cult [Not baptized] (c. 1086)
Affinity (c. 1092)
Abduction (c. 1089)
Disparity of Cult ad cautelam (c. 1086)
Public Propriety (c. 1093)
Consanguinity (the fourth degree in the
Legal relationship arising from adoption (c. 1094)
collateral line, i.e. first cousins c. 1091)
Crime (c. 1090)
II. PETITIONS A DISPENSATION FROM CANONICAL FORM
YES* (see back side for reasons and details)
III. PETITIONS PERMISSION FOR MARRIAGE OF/WITH:
Mixed Religion [Baptized non-Catholic] (c. 1124-1125) N.B. Promises of Catholic required.
One who has left the Catholic faith by a formal act or who has notoriously rejected it between Nov. 27, 1983
and Oct. 26, 2009. (c. 1071, 1117) N.B. Promises of the Catholic petitioner required.
Pre-Nuptial Agreement (copy attached)*
THE CANONICAL REASON IS:
Removal of serious scandal
For the Spiritual well being of the Catholic Party
Mutual help in advanced age
Convalidation of an invalid marriage
Danger of invalid marriage
Promise to embrace the Catholic religion (for baptized)
Legitimation of children
Well-founded hope of the conversion of the unbaptized
IV. PETITIONS PERMISSION FOR RELAXATION OF THE DIOCESAN POLICY ON THE:
Use of Pre-Marital Inventory*
Completion of a Marriage Preparation Course*
Completion of a full course of instruction in a method of Natural Family Planning (NFP)*
Age of Marriage (Under 20 requires permission. A separate counselor’s recommendation is required.)*
Full Marriage Preparation period (Policy is six months. Permission required for less than 4 months.)*
*Typed Letter of Explanation and Pre-Marital Inventory MUST be attached. (They will be returned to you.)
(Be sure to complete reverse side & sign form)
Revised 1/2013
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