Clerk/Register of Deeds: Order Form -- Marriage Records

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Please enter information as it appears on marriage record:
(Note: Required fields are marked with an "*".)
Date of Marriage *
Spouse's Name at Time of Application
First Name *
Middle Name
Last Name *
Spouse's Name at Time of Application
First Name *
Middle Name
Last Name *
Number of copies *
Applicant's information:
First Name *
Last Name *
Address Line 1 *
Address Line 2
City *
State *
Phone
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