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

Product Fees
Service Fees

 
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 *  Zip * 
Phone Sample: 248-858-2100
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