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Marriage License Application - DOC by HC12093023740

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									                              Bulloch County Probate Court - Marriage License Application
                                                      GROOM                                 BRIDE
Full Name (Maiden)
Street Address
City
County, State, Zip
Date of Birth
Race
Place of Birth (City, State)
Are you related to each other
Social Security Number
Occupation (career)
(Surname) Your Last Name after the ceremony
Number of Previous Marriages
How was the Previous Marriage Dissolved
Date Previous Marriage was Dissolved
County, State Previous Marriage was dissolved
Is there any Legal Reason You cannot be
married
Father’s Full Name
Father’s Place of Birth (City, State)
Father’s Place of Residence (City, State)
Mother’s Full Maiden Name
Mother’s Place of Birth (City, State)
Mother’s Place of Residence (City, State)
Date & Location of Your Ceremony
City, County & State of Your Ceremony
Who is Performing Your Ceremony
Address for Who is performing Your Ceremony
What will Your Mailing Address be after Your
Ceremony
Contact Number
Have you Completed a Premarital Education
Course
Do you have your Premarital Course Affidavit
Signed & Notarized

								
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