Office of Nikki Alvarez-Sowles, Esq.
Pasco County Clerk & Comptroller
Marriage License Information Sheet
Please Print Legibly
Full Legal Name (First, Middle, Last, Suffix – If Applicable)
Maiden Surname (If Different)
Current Address (Including City)
Date of Birth (MM/DD/YYYY)
(Including Area Code)
(State/Foreign Country)
No Social Security Number
(Black, White, Asian, Hispanic, American Indian,
Other)
Yes
No
Marriage
Death Divorce Annulment
(MM/DD/YYYY)
Full Legal Name (First, Middle, Last, Suffix – If Applicable)
Maiden Surname (If Different)
Current Address (Including City)
(MM/DD/YYYY)
(Including Area Code)
(State/Foreign Country)
No Social Security Number
(Black, White, Asian, Hispanic, American Indian,
Other)
Yes
No
Marriage
Death Divorce Annulment
(MM/DD/YYYY)
Do the applicants have children TOGETHER and BORN in the State of Florida?
Yes No
I hereby acknowledge the above information is true and correct.
________________________________ ________________________________
Signature Spouse 1 Date Signature Spouse 2 Date
OR_F_Marriage License Information Sheet R06242019 Page 1 of 1