Marriage License Application
Marriage License Application
Marriage License Application
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MARRIAGE APPLICATION - STATE OF FLORIDA ONLY (office use only)
Applicant I - Full Name (Please print) Applicant II - Full Name (Please print)
First name Middle name Last name First name Middle name Last name
Race (Check one only): American Indian Asian Race (Check one only): American Indian Asian
Black Hispanic White Other Black Hispanic White Other
Sex: Male Female Sex: Male Female
Social Security No.: Social Security No.:
Date of Birth: Age:______ Date of Birth: Age:______
Month Day Year Month Day Year
If you are NOT at least 18 years of age, please notify the Clerk If you are NOT at least 18 years of age, please notify the Clerk
Are you the parents of a child(ren) in common, born in the State of Florida? Yes No
If Yes, please complete the "Affirmation of Common Children Born in Florida" form.