Affidavit for License to Marry - St. Clair County Clerk's Office

DO YOU SOLEMNLY SWEAR OR AFFIRM THAT THE INFORMATION THAT YOU PROVIDE IS TRUTHFUL AND ACCURATE TO THE BEST OF YOUR KNOWLEGE AND THAT YOU MEET ALL QUALIFICATIONS REQUIRED BY LAW TO APPLY FOR A MARRIAGE LICENSE IN ST CLAIR COUNTY, STATE OF MICHIGAN

I Affirm

How do you wish to receive your Marriage License?

STATE OF MICHIGAN, County of ST CLAIR

The Undersigned, being duly sworn, depose(s) and say(s) that:

APPLICANT #1

FULL NAME (First, Middle, Last)

MALE

FEMALE

OTHER

SURNAME ON BIRTH CERTIFICATE, IF DIFFERENT (Maiden Name)

PRESENT AGE

DATE OF BIRTH(MM/DD/YYYY)

RESIDENCE NO. (Address number)

STREET

CITY (and country, if not US)

STATE

ZIP CODE

RESIDENCE COUNTY

NUMBER OF TIMES PREVIOUSLY MARRIED

BIRTHPLACE – CITY AND STATE

FULL NAME OF FIRST PARENT (First, Middle,Last)

SURNAME OF FIRST PARENT AT BIRTH (Maiden Name)

BIRTHPLACE OF FIRST PARENT - STATE

FULL NAME OF SECOND PARENT (First, Middle,Last)

SURNAME OF SECOND PARENT AT BIRTH (Maiden Name)

BIRTHPLACE OF SECOND PARENT-STATE

APPLICANT #2

FULL NAME (First, Middle, Last)

MALE

FEMALE

OTHER

SURNAME ON BIRTH CERTIFICATE, IF DIFFERENT (Maiden Name)

PRESENT AGE

DATE OF BIRTH(MM/DD/YYYY)

RESIDENCE NO. (Address number)

STREET

CITY (and country, if not US)

STATE

ZIP CODE

RESIDENCE COUNTY

NUMBER OF TIMES PREVIOUSLY MARRIED

BIRTHPLACE – CITY AND STATE

FULL NAME OF FIRST PARENT (First, Middle,Last)

SURNAME OF FIRST PARENT AT BIRTH (Maiden Name)

BIRTHPLACE OF FIRST PARENT - STATE

FULL NAME OF SECOND PARENT (First, Middle,Last)

SURNAME OF SECOND PARENT AT BIRTH (Maiden Name)

BIRTHPLACE OF SECOND PARENT-STATE

Intend to marry and that this affidavit is made for the purpose of obtaining a marriage license; that each of the above-named persons are of the age of 18 years or older, required by law, are not related to the other within the degree prohibited by statue and are of sufficient mental capacity to contract marriage; that said persons are acquainted with the laws of the State of Michigan relative to marriage; that there is no legal impediment to said marriage; and that to the best knowledge and belief of the undersigned all of the foregoing statements are true.

Please supply contact information in case there is an issue in processing your application:

Phone Number

Email Address

Do either applicant reside in St. Clair County?