License Datasheet
Groom 1. NAME (first, middle, last): 2. LAST NAME AT BIRTH: 3. DATE OF BIRTH: 4. SEX: 5. RACE: 6. COUNTY WHERE YOU LIVE: 7. STATE WHERE YOU LIVE: 8. NUMBER OF PREVIOUS MARRIAGES: 9. REASON PREVIOUS MARRIAGE ENDED (e.g., divorce, death, dissolution, annulment): 10. STATE OR FOREIGN COUNTRY OF BIRTH: 11. FATHERS NAME (F-M-L): 12. MOTHERS MAIDEN NAME (HER NAME AT BIRTH): 34. SS#: Bride 13. NAME (first, middle, last): 14. LAST NAME AT BIRTH: 15. DATE OF BIRTH: 16. SEX: 17. RACE: 18. COUNTY WHERE YOU LIVE: 19. STATE WHERE YOU LIVE: 20. NUMBER OF PREVIOUS MARRIAGES: 21. REASON PREVIOUS MARRIAGE ENDED (e.g., divorce, death, dissolution, annulment): 22. STATE OR FOREIGN COUNTRY OF BIRTH: 23. FATHERS NAME (F-M-L): 24. MOTHERS MAIDEN NAME (HER NAME AT BIRTH): 35. SS#: |
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