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Get Application For Declaration Of Marriage

T LAST Groom Bride FIRST PERSON DATA 1A. FIRST NAME 1D. LAST NAME AT BIRTH (IF DIFFERENT THAN 1C) 2. DATE OF BIRTH (MM/DD/CCYY) 3. STATE/COUNTRY OF BIRTH 4. #PREV. MARRIAGES/SRDP 5A. LAST MARRIAGE/SRDP ENDED BY: DEATH 6. ADDRESS DISSO 7. CITY ANNULMENT 5B. DATE ENDED (MM/DD/CCYY) TERM SRDP N/A 8. STATE/COUNTRY 9. ZIP CODE 10A. FULL BIRTH NAME OF FATHER/PARENT 10B. STATE OF BIRTH (IF OUTSIDE U.S. ENTER COUNTRY) 11A. FULL BIRTH NAME OF MOTHER/PARENT 11B. STATE OF BIRTH (IF OUTSIDE.

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