Lucas County Probate Court - Judge Jack R. Puffenberger
Marriage License Certified Copy Order Form
To obtain copies of your "Marriage Certificate," it will be necessary for you to submit the following information:
Volume & Page Number OR Case Number (if available)
Name of Applicant 1 (name before the marriage)
Applicant 1's Date of Birth
-
Month
-
Day
Year
Date
Name of Applicant 2 (name before the marriage)
Applicant 2's Date of Birth
-
Month
-
Day
Year
Date
Approximate date of marriage
-
Month
-
Day
Year
Date
Contact Name (In case our office needs to contact you regarding this form)
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Mailing Address to Send Copies
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Payment
*
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Certified Copy of Marriage License - Current Subtotal:
$
Free
Cost includes certified copy, postage, and processing fee.
Quantity
1
2
3
4
5
Item subtotal:
$
0.00
Total
$
0.00
Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Date
Postal Code
Submit
Should be Empty: