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  • In State Form 54764 2018

Get In State Form 54764 2018-2026

APPLICATION FOR SEARCH FOR CERTIFIED RECORD OF MARRIAGE State Form 54764 (R4 / 1018) INDIANA STATE DEPARTMENT OF HEALTHBeginning in 1958, the State Vital Records Office became the central repository.

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How to fill out the IN State Form 54764 online

Filling out the IN State Form 54764 online is a straightforward process that allows users to apply for certified records of marriage. This guide will walk you through each step to ensure you accurately complete the form.

Follow the steps to complete the IN State Form 54764 efficiently.

  1. Click 'Get Form' button to obtain the form and open it in the editor.
  2. Begin by entering the information for Applicant 1. Fill in the first name, middle name, and last name fields accurately to ensure proper identification.
  3. Next, provide details for Applicant 2. Enter their first name, middle name, and maiden name, if applicable. This information is essential for processing your request.
  4. Indicate the date of marriage by entering the month, day, and year. Please note that the Indiana State Department of Health currently only provides records for marriages that occurred between 1958 and 2012.
  5. Specify the county of marriage and the city of marriage, if known. This information helps in locating the record you are requesting.
  6. Sign the application to confirm your request and include your mailing address, ensuring it matches your identification address. This is crucial for the return of your record.
  7. Provide your daytime telephone number, including the area code. This allows the office to contact you if any issues arise regarding your application.
  8. Finally, enter today’s date in the designated field to document your application submission.
  9. After completing the form, ensure you save your changes. You can then download, print, or share the form as needed.

Complete your marriage record request online today.

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