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Get Printable Marriage License Application Racine County Form 2014-2024

Essed, stamped envelope and appropriate fee. Please make MONEY ORDER payable to: Racine County Register of Deeds 730 Wisconsin Avenue Racine, WI 53403 Complete ENTIRE Form- View Instructions on Back PENALTIES: Any person who willfully and knowingly makes false application for a birth certificate shall be fined not more than $10,000 or imprisoned not more than 2 years or both. BIRTH INFO BIRTH (or ADOPTED) NAME of record requested: SEX: M F DATE OF BIRTH: Month PLACE OF BIRTH: (City, Vill.

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