PROBATE COURT OF BUTLER COUNTY, OHIO APPLICATION FORM FOR

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					                               PROBATE COURT OF BUTLER COUNTY, OHIO
                       APPLICATION FORM FOR OBTAINING MARRIAGE LICENSE
                                                           PLEASE READ CAREFULLY:
In order to obtain a marriage license, the following rules and regulations must be followed:
      1.    At least one of the persons must be a resident of Butler County. If both persons are from out of state, you must
            be planning to be married in Butler County.
      2.    All persons must present a U.S. Government photo ID (ex. Driver’s License, State ID, Passport or Visa).
      3.    Persons under the age of 18 must have had counseling by the Family Counseling Agency of Butler County or any
            ordained or licensed minister of any religious society or congregation within this state licensed to perform
            marriages. (THREE COUNSELING SESSIONS ARE REQUIRED).
      4.    If the male person is under the age of 18 or the female person is under the age of 16, you must also have
            received permission by Juvenile Court.
      5.    If you have been previously married, a final Divorce Decree must be presented.
      6.    It is your responsibility to determine that the person officiating the wedding ceremony is licensed in the state of
            Ohio.
      7.    Once the license is issued, it is valid for a period of sixty (60) days.

                                                         PLEASE PRINT CLEARLY:
                                   Male                                                                    Female

 1. First Name               Full Middle Name        Last Name              1. First Name              Full Middle Name        Last Name



 2.   Age                   Date of Birth             Social Security No.   2.    Age                  Date of Birth             Social Security No.



 3. Current Address (No. & Street, City, State, Zip Code & County           3. Current Address (No. & Street, City, State, Zip Code & County)



 4. City & State of Birth                                                   4. City & State of Birth



 5. Occupation                                Place of Employment           5.. Occupation                             Place of Employment



 6. Father’s Full Name                                                      6. Father’s Full Name



 7. Mother’s Full Maiden Name                                               7. Mother’s Full Maiden Name



 8. Number of Your Previous Marriages                                       8. Number of Your Previous Marriages



 9. Daytime Phone                           Home Phone                      9. Daytime Phone                       Home Phone



 10. Parents Address                                                        10. Parents Address



 11. Address after marriage




                               BCPC FORM 850 - APPLICATION FORM FOR OBTAINING MARRIAGE LICENSE -PDF                                             4/1/04