Office of Nikki Alvarez-Sowles, Esq.
Pasco County Clerk & Comptroller
Marriage License Information Sheet
Please Print Legibly
Spouse 1 Information
Full Legal Name (First, Middle, Last, Suffix If Applicable)
Maiden Surname (If Different)
Current Address (Including City)
County
State
Residence Country
Zip Code
Date of Birth (MM/DD/YYYY)
(Including Area Code)
Birthplace
(State/Foreign Country)
Social Security Number
No Social Security Number
Race
(Black, White, Asian, Hispanic, American Indian,
Other)
Previously Married
Yes
No
Number of This
Marriage
Last Marriage Ended In
Death Divorce Annulment
Date Ended
(MM/DD/YYYY)
Spouse 2 Information
Full Legal Name (First, Middle, Last, Suffix – If Applicable)
Maiden Surname (If Different)
Current Address (Including City)
County
State
Residence Country
Zip Code
Date of Birth
(MM/DD/YYYY)
Daytime Phone Number
(Including Area Code)
Birthplace
(State/Foreign Country)
Social Security Number
No Social Security Number
Race
(Black, White, Asian, Hispanic, American Indian,
Other)
Previously Married
Yes
No
Number of This
Marriage
Last Marriage Ended In
Death Divorce Annulment
Date Ended
(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