Fillable Marriage License Worksheet (Party 1) (City of Plattsburgh)

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Marriage License Worksheet (Party 1) (City of Plattsburgh)

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The Marriage License Worksheet (Party 1) (City of Plattsburgh) form is 2 pages long and contains:

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  • 10 check-boxes
  • 42 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Plattsburgh

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Marriage License Worksheet (Party 1)
1. CURRENT FULL NAME: _________________________________________________________
First
Middle Last
2. BIRTH NAME IF
DIFFERENT:_______________________________________________________
3. SURNAME (WHAT YOU WOULD LIKE YOUR LAST NAME TO BE AFTER MARRIAGE):___________
4. SOCIAL SECURITY NUMBER: ______________________________
5. CURRENT
RESIDENCE:___________________________________________________________
6. CITY ____TOWN ____ VILLAGE ____ PLEASE SPECIFY: _________________________________
7. PHONE NUMBER:________________________________
8. SPECIFY COUNTY:_______________________________
9. DATE OF BIRTH:__________________
10. PLACE OF BIRTH (CITY AND STATE):______________________________
11. OCCUPATION:______________________________________
12. INDUSTRY:_________________________________________
13. FATHER’S FULL NAME:________________________________
14. FATHER’S COUNTRY OF BIRTH:____________________________
15. MOTHER’S FULL NAME USING MAIDEN NAME:________________________________
16. MOTHER’S COUNTRY OF BIRTH:__________________________________
17. NO. OF MARRIAGE THIS WILL BE:_________
18. IF PREVIOUS MARRIAGE HOW DID IT END: Divorce Death
19. WHEN DID PREVIOUS MARRIAGE END:______________________________
20. IF DIVORCE, WHO FILED AGAINST WHOM, AND WHICH COUNTY/ STATE AND
DATE:________________________________________________________
21. IF PREVIOUSLY MARRIED ARE ANY PREVIOUS SPOUSE(S) STILL ALIVE:____________________
Marriage License Worksheet (Party 2)
1. CURRENT FULL NAME:___________________________________________________________
First Middle Last
2. BIRTH NAME IF DIFFERENT _____________________________________________________
3. SURNAME (WHAT YOU WOULD LIKE YOUR LAST NAME TO BE AFTER MARRIAGE): __________
4. SOCIAL SECURITY NUMBER: ______________________________
5. CURRENT
RESIDENCE:___________________________________________________________
6. CITY ____TOWN ____ VILLAGE ____ PLEASE SPECIFY: _________________________________
7. PHONE NUMBER:________________________________
8. SPECIFY COUNTY:_______________________________
9. DATE OF BIRTH:__________________
10. PLACE OF BIRTH (CITY AND STATE):______________________________
11. OCCUPATION:______________________________________
12. INDUSTRY:_________________________________________
13. FATHER’S FULL NAME:________________________________
14. FATHER’S COUNTRY OF BIRTH:____________________________
15. MOTHER’S FULL NAME USING MAIDEN NAME:________________________________
16. MOTHER’S COUNTRY OF BIRTH:__________________________________
17. NO. OF MARRIAGE THIS WILL BE:_________
18. IF PREVIOUS MARRIAGE HOW DID IT END: Divorce Death
19. WHEN DID PREVIOUS MARRIAGE END:______________________________
20. IF DIVORCE, WHO FILED AGAINST WHOM, AND WHICH COUNTY/ STATE AND
DATE:________________________________________________________
21. IF PREVIOUSLY MARRIED ARE ANY PREVIOUS SPOUSE(S) STILL ALIVE:____________________
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Marriage License Worksheet (Party 1) (City of Plattsburgh)

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Completed 12 February 2021

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