Fillable Printable Application for Marriage License or Certificate - Florida

Application for Marriage License or Certificate - Florida

MLa0915.003

MARYANNE MORSE

CLERK OF THE CIRCUIT COURT AND COMPTROLLER

SEMINOLE COUNTY, FLORIDA

(Application Number)

APPLICATION FOR MARRIAGE LICENSE Issue Date

Effective Date

Expiration Date

BEFORE M AKING APPLICATION, BE SURE THAT YOU HAVE THE FOLLOWING:

1. APPLICATION FEE (cash only – no checks). THE FEE IS NON-REFUNDABLE

$93.50 (couples not taking the four-hour marriage preparation course)

$61.00 (discounted for couples who complete a four-hour marriage preparation course)

2. IDENTIFICATION INDICATING DATE OF BIRTH

3. COPY OF FINAL JUDGMENT OF DIVORCE or ANNULMENT ORDER or DEATH CERTIFICATE (if divorce or

annulment or death occurred within last 30 days)

4. A VALID CERTIFICATE OF COMPLETION OF A FOUR-HOUR MARRIAGE PREPARATION COURSE

ISSUED BY THE COUR SE PROVIDER

PLEASE READ CAREFULLY :

A marriage license, once COMPLETED and issued, is valid for 60 days from the issue date. If the applicants fail to marry

during the sixty-day period, they must re-apply.

There is a three-day waiting period (from date of application) for couples who do not present a valid certificate of

completion of a four-hour marriage preparation course. Exceptions to the waiting period are: non-Florida residents;

persons suffering hardship. Blood tests are not required.

COMPLETE THE FOLLOWING PARTY INF ORMATION (PLEASE PRINT):

SPOUSE 1

SPOUSE 2

Name (First, Middle (full), Last)

Maiden surname (if different)

Street Address

City/Town

County

State

Zip Code

Date of Birth

Birth Place (State or Foreign Country)

Social Security Number

Race

W ere you ever previously married?

Yes No

Number of this marriage

Last marriage ended by:

Death Divorce Annulment

Date (mm/dd/yy) last marriage ended

W e, the applicants named above, each for himself/herself, state that the foregoing information is true and correct and may

be relied upon for the issuance of a marriage license.

Spouse 1 Signature Date Spouse 2 Signature

Date

Mailing address for copy of marriage license after marriage takes place (include zip code):

Daytime Telephone No. Optional (include area code)

MLb0915.003

PREMARIT AL STATEMENT

STATE OF FLORIDA

COUNTY OF SEMINOLE

COMES NOW and

Spouse 1 (print full name) Spouse 2 (print full name)

and hereby attest as follows:

That we have (separately together have have not ) completed a premarital

preparation course.

That we have obtained and read or otherwise accessed the information contained in the handbook or

other electronic media presentation of the rights and responsibilities of parties to a marriage specified in

Section 741.0306, Florida Statutes.

Dated: .

THE PREMARITAL STATEMENT MUST BE SIGNED BEFORE A DEPUTY CLERK

(Spouse 1 Signature)

(Spouse 2 Signature)

Sworn to and subscribed before me this day of , .

(Signature of Deputy Clerk) (Print or type Deputy Clerk)