Marriage License Application

Marriage License Application

Judge Jack R. Puffenberger - Lucas County Probate Court
Applicant 1 Information
Name of Person Submitting Application

First Name Last Name
Applicant 1 Full Legal Name

First Name Middle Name Last Name Suffix
Applicant 1 Social Security Number
Applicant 1 Date of Birth

Month Day Year
Date
Applicant 1 Residence

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Applicant 1 Birthplace
State of Birth
Applicant 1 Occupation (Job Title)
Enter your occupation
Applicant 1 Father's Name

First Name Middle Name Last Name Suffix
Applicant 1 Mother's FULL Maiden Name (before ANY marriage)

First Name Middle Name Last Name Suffix
Applicant 1 Number of Times Previously Married
How many times have you been married previously? If never been married before please enter 0.
Applicant 1's Marital History
Applicant 1's Marital History
Applicant 1's Marital History
Applicant 1's Marital History
Supporting Documents Applicant 1
Required: Upload a Photo of Applicant 1's Valid State ID, Driver License, or Valid Passport (.tif, .jpg or .pdf)

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Required if Previously Married: Most Recent Final Judgment of Divorce Decree Signed by Judge - OR - If Marriage Ended in Death, Certified Death Certificate. Complete divorce decree ONLY (separations agreement, child support order, etc. not required).

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Required if Under 21 Years of Age: Certified Copy of Birth Certificate

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Required if Legal Name Change Has Taken Place: Name Change Documents

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Applicant 2 Information
Applicant 2 Full Legal Name

First Name Middle Name Last Name Suffix
Applicant 2 Social Security Number
Applicant 2 Date of Birth

Month Day Year
Date
Applicant 2 Residence

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Applicant 2 Birthplace
State of Birth
Applicant 2 Occupation (Job Title)
Enter your occupation
Applicant 2 Father's Name

First Name Middle Name Last Name Suffix
Applicant 2 Mother's FULL Maiden Name (before ANY marriage)

First Name Middle Name Last Name Suffix
Applicant 2 Number of Times Previously Married
How many times have you been married previously? If never been married before please enter 0.
Applicant 2's Marital History
Applicant 2's Marital History
Applicant 2's Marital History
Applicant 2's Marital History
Supporting Documents Applicant 2
Required: Upload a Photo of Applicant 1's Valid State ID, Driver License, or Valid Passport (.tif, .jpg or .pdf)

Browse Files

Cancel of
Required if Previously Married: Most Recent Final Judgment of Divorce Decree Signed by Judge - OR - If Marriage Ended in Death, Certified Death Certificate. Complete divorce decree ONLY (separations agreement, child support order, etc. not required).

Browse Files

Cancel of
Required if Under 21 Years of Age: Certified Copy of Birth Certificate

Browse Files

Cancel of
Required if Legal Name Change Has Taken Place: Name Change Documents

Browse Files

Cancel of

APPLICANT 1 SIGNATURE: That neither of said parties is under the influence of any intoxicating liquor or narcotic drug, or infected with syphilis in a form that is communicable or likely to become communicable; that if the applicant is under 18 years of age, marriage counseling has been received; that said parties are not nearer of kin than second cousins; that there is no legal impediment to their marriage, and that all of the above statements are true. *

Clear
APPLICANT 2 SIGNATURE: That neither of said parties is under the influence of any intoxicating liquor or narcotic drug, or infected with syphilis in a form that is communicable or likely to become communicable; that if the applicant is under 18 years of age, marriage counseling has been received; that said parties are not nearer of kin than second cousins; that there is no legal impediment to their marriage, and that all of the above statements are true. *

Clear
Phone Number to Reach Applicants

Area Code Phone Number
Email Address to Reach Applicants
example@example.com
Preferred Mailing Address for License to be Sent to

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Payment

Marriage License Fee: $60 Postage: $1.40 Processing Fee: $2.14

My Products

Marriage License Application Marriage License Application and Processing Fee

$ 63.54

Total

$ 0.00

Credit Card Information
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

Make sure all information entered in this application is correct before submitting. Any incorrect information will result in delay of submission approval.
Should be Empty:

Marriage License Application

Applicant 1 Information

Supporting Documents Applicant 1

Applicant 2 Information

Supporting Documents Applicant 2

Payment