County Home
Marriage Application for Washington County, MN
*
Denotes Required Fields
Applicant 1
Name Before
*
First Name:
Middle Name:
Last Name:
Suffix:
Birthdate MM/DD/YYYY:
Birth Place-US State or Foreign Country:
*
Address Location:
United States
Foreign Address
Address
Line 1:
Line 2:
Line 3:
City:
State:
Zip:
Address Line 1:
Address Line 2:
Postal Code:
Foreign City:
Foreign Country:
County:
SSN?:
Yes
No
SSN:
Gender:
MALE
FEMALE
X
Previously Married:
Yes
No
Previous Marriage How Terminated:
DEATH
DIVORCE
ANNULMENT
Previously Married Name
First Name:
Middle Name:
Last Name:
Suffix:
County Where Terminated:
When Terminated MM/DD/YYYY:
Termination Court:
DISTRICT
CIRCUIT
OTHER
Other Termination Court:
Felony Conviction:
Yes
No
Pursuant to M.S. 517.08 Applicant(s) with a felony conviction may not change their name via marriage.
Name After
*
First Name:
Middle Name:
Last Name:
Suffix:
Phone Number :
*
Applicant 2
Name Before
*
First Name:
Middle Name:
Last Name:
Suffix:
Birthdate MM/DD/YYYY:
Birth Place-US State or Foreign Country:
*
Address Location:
United States
Foreign Address
Address
Line 1:
Line 2:
Line 3:
City:
State:
Zip:
Address Line 1:
Address Line 2:
Postal Code:
Foreign City:
Foreign Country:
County:
SSN?:
Yes
No
SSN:
*
Gender:
MALE
FEMALE
X
Previously Married:
Yes
No
Previous Marriage How Terminated:
DEATH
DIVORCE
ANNULMENT
Previously Married Name
First Name:
Middle Name:
Last Name:
Suffix:
County Where Terminated:
When Terminated MM/DD/YYYY:
Termination Court:
DISTRICT
CIRCUIT
OTHER
Other Termination Court:
Felony Conviction:
Yes
No
Pursuant to M.S. 517.08 Applicant(s) with a felony conviction may not change their name via marriage.
Name After
*
First Name:
Middle Name:
Last Name:
Suffix:
Phone Number:
*
After Marriage
Marriage Address
Line 1:
Line 2:
Line 3:
City:
State:
Zip:
*Tennessen warning
for the collection of social security numbers: If you have a social security number you are required by federal and state law to put it on the marriage license application (title 42, US Code Sec 666 (a) (13) (a) MN statutes, section 144.223, and MN statutes, sec 517.08 subd. 1a (1997)). Your social security number is reported to the MN Department of Health and will be kept private. If necessary, your social security number may be used to help obtain financial support of your child.
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