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Marriage Application for Scott County, MN
*
Denotes Required Fields
Applicant 1
Full Legal Name
*
First Name:
Middle Name:
Last Name:
Suffix:
Sex:
MALE
FEMALE
X
*
Address
*
Line 1:
Line 2:
Line 3:
City:
State:
Zip:
County:
*
SSN?:
Yes
No
Daytime phone number:
*
Email address:
*
Birthdate:
*
Previously been married?:
Yes
No
How was the last marriage terminated?:
DEATH
DIVORCE
ANNULMENT
*
Date of termination:
*
Previous Married Name
*
First Name:
Middle Name:
Last Name:
Suffix:
City of termination:
*
County of termination:
*
State of termination:
*
Prior felony:
Yes
No
Full Legal Name after Marriage
*
First Name:
Middle Name:
Last Name:
Suffix:
Applicant 2
Full Legal Name
*
First Name:
Middle Name:
Last Name:
Suffix:
Sex:
MALE
FEMALE
X
*
Address
*
Line 1:
Line 2:
Line 3:
City:
State:
Zip:
County:
*
SSN?:
Yes
No
Daytime phone number:
*
Email address:
Birthdate:
*
Previously been married?:
Yes
No
How was the last marriage terminated?:
DEATH
DIVORCE
ANNULMENT
*
Date of termination:
*
Previous Married Name
*
First Name:
Middle Name:
Last Name:
Suffix:
City of termination:
*
County of termination:
*
State of termination:
*
Prior felony:
Yes
No
Full Legal Name after Marriage
*
First Name:
Middle Name:
Last Name:
Suffix:
Address after Marriage
*
Line 1:
Line 2:
Line 3:
City:
State:
Zip:
Are the parties related by blood or adoption?:
Yes
No
State relationship:
*
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