PARENTS
COUPLE
AFFIDAVIT FOR LICENSE TO MARRY
STATE OF MICHIGAN
No.
County of
The Undersigned, being duly sworn, depose(s) and say(s) that:
and
FULL NAME (First, Middle, Last) MALE FEMALE
FULL NAME (First, Middle, Last) MALE FEMALE
SURNAME ON BIRTH CERTIFICATE, IF DIFFERENT
SURNAME ON BIRTH CERTIFICATE, IF DIFFERENT
PRESENT AGE DATE OF BIRTH PRESENT AGE DATE OF BIRTH
BIRTHPLACE CITY AND STATE
BIRTHPLACE CITY AND STATE
RESIDENCE NO. STREET
CITY, STATE, AND ZIP CODE
RESIDENCE NO. STREET
CITY, STATE, AND ZIP CODE
RESIDENCE COUNTY
TIMES PREVIOUSLY MARRIED
RESIDENCE COUNTY
TIMES PREVIOUSLY MARRIED
FULL NAME (First, Middle,Last) FULL NAME (First, Middle,Last)
SURNAME AT BIRTH BIRTHPLACE
SURNAME AT BIRTH BIRTHPLACE
FULL NAME (First, Middle,Last)
FULL NAME (First, Middle, Last)
SURNAME AT BIRTH BIRTHPLACE
SURNAME AT BIRTH BIRTHPLACE
intend to marry and that this affidavit is made for the purpose of obtaining a marriage license; that each of the above-named
persons is of the age required by law, is not related to the other within the degree prohibited by statute and is 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.
Educational materials regarding prenatal care and the transmission and prevention of venereal disease and
HIV infection as well as information on the availability of tests for these diseases have been received.
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Social Security
Number
Social Security
Number
Subscribed to before me: the County Clerk: a Notary Public of
County,
acting in County, and whose commission expires on , 20 ;
or other person authorized to administer oaths, and sworn to on , 20 .
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DCH-0484 (Rev. 09/2015) AUTHORITY: MCL 551.102
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GETTING MARRIED IN MICHIGAN? WHAT YOU NEED TO KNOW….
Who can marry….
To be able to marry you must not be married to someone else. (MCL 551.5) If you have been married before, you may be
asked to document that the earlier marriage has ended due to death or divorce.
To obtain a Michigan marriage license the couple must be 18 years of age or older and be able to enter into legal
contracts. (MCL 551.103)
If 16 or 17 years of age, a person can apply for a license but must have parental consent or consent of their legal
guardian to marry. If custody of a person applying for a license under the age of 18 has been awarded by the court, the
consent must be from a custodial parent. (MCL 551.51 and 551.103)
Where to apply and where to marry….
If either of the couple are Michigan residents, they must apply with the county clerk where one or both have legal
residence. Once the license is issued, Michigan residents can marry anywhere in the state. (MCL 551.101)
If neither of the couple lives in Michigan, they must apply with the county clerk where the marriage ceremony is to be
performed. Once issued, the license can be used only in the issuing county. (MCL 551.101)
In either case, a Michigan license is not valid outside the state of Michigan.
Who can you marry….
There are restricons on who someone can marry. (MCL 551.3 and 551.4)
A man cannot marry his mother, sister, grandmother, daughter, granddaughter, stepmother, grandfather's wife, son's
wife, grandson's wife, wife's mother, wife's grandmother, wife's daughter, wife's granddaughter, brother's daughter,
sister's daughter, father's sister, mother's sister, or cousin of the rst degree.
A woman cannot marry her father, brother, grandfather, son, grandson, stepfather, grandmother's husband,
daughter's husband, granddaughter's husband, husband's father, husband's grandfather, husband's son, husband's
grandson, brother's son, sister's son, father's brother, mother's brother, or cousin of the rst degree.
The three day waiting period….
Generally, a marriage license is not issued for a period of three days from the date of the applicaon. Applicants can,
however, request a waiver of the three day waing period from the clerk issuing the license. (MCL 551.103a)
Special notice of perjury….
Note that the applicaon for a marriage license is a sworn adavit. Making false statements in the marriage license
adavit is an act of perjury which is a prosecutable oense. (MCL 551.108)