StAgnes-Concord Previous Marriage Information

Previous Marriage Information
Complete this form if an inquirer has been previously married (Section I)
or if an inquirer's spouse or fiancé(e) has been previously married (Section II).
I. PREVIOUS MARRIAGE(S) OF AN INQUIRER
Complete questions (a) to (e) for each previous marriage. Copy form for additional marriages.
Previous Marriage(First, Second, etc.)
Name of Inquirer:
(a) Former Spouse's Current Name:

First NameMiddle InitialLast Name
(b) Date of Marriage:

MonthDayYear
Date
(c) Place of Marriage:
(d) Officiating Authority of Marriage:
Have you or your former spouse ever petitioned for a decree of nullity from a tribunal of the Catholic Church?
Diocese:
Case Number:
If "Yes," was a decree of nullity issued?
Case Number:
Date of decree of nullity (if issued):

MonthDayYear
Date
Diocese:
Decree of nullity verified by:
Date:

MonthDayYear
Date

Previous Marriage Information