Fillable Printable Prenuptial Agreement Form
Fillable Printable Prenuptial Agreement Form
Prenuptial Agreement Form
DIOCESE OF MIDDLESBROUGH
Pre-Nuptial Enquiry Form
To be used for ALL marriages
PLEASE PRINT THROUGHOUT
Parish: ____________________________________________________
Marriage between
________________________ and ____________________________
Bride Groom
Date of marriage: ______________________ Time: _______________
Place of marriage: __________________________________________
Nuptial Mass: YES / NO
Name & address of celebrant :
__________________________________________________________
__________________________________________________________
Document check list
Catholic party/parties
Bride Groom
□ □ Baptismal certificate
(up to date)
□ □ Confirmation certificate
□ □ Letters of freedom
Non Catholic party
Bride Groom
□ □ Baptismal certificate
(where applicable)
□ □ Letters of freedom
MIXED MARRIAGES
Applications in cases of mixed religion, disparity of worship & marriages outside a Catholic church
I declare that I am ready to uphold my Catholic faith and to avoid all dangers of falling away from
it. Moreover, I sincerely undertake that I will do all that I can within the unity of our partnership to
have all the children of our marriage baptised and brought up in the Catholic Church.
Signed (Catholic party): ______________________ Date: ____________
The Catholic has read and signed the above declaration and promise in the presence of the non-
Catholic party to whom they have been explained. In my opinion the non-Catholic will not oppose
the fulfilment of the above declaration and promise in such a way as to make them meaningless.
The four required instructions have been given or a pre-marriage course has been attended.
Signed (priest) : ____________________________ Date: ____________
I declare that all the above statements are true and I request:
□ Permission for mixed marriage
This permission can be given by the Parish Priest of the Catholic party:
Signed: _______________________________ Print name: ______________________________ Date: __________
□ Dispensation from disparity of worship
□ Dispensation from canonical form (for place of marriage)
□ Permission for sanation
□ Permission for convalidation
□ Nullity due to lack of canonical form
NOTES:
1. It is the duty of the priest to explain the meaning of Christian marriage and its obligations, its unity and its
indissolubility. The priest should also satisfy himself that the person is entering the marriage freely and
without attaching any conditions to the consent.
2. In Lack of Form cases no date should be set until the Declaration of Freedom is received from the
Chancery.
3. All convalidations should be referred to the Chancery with a copy of the civil marriage certificate.
4. Bride & groom are normally to be interviewed separately.
5. Where a person wishing to marry a Catholic but not of the Latin Rite, reference should always be made to the
Chancery before arrangements are made for the wedding.
6. If a previous marriage partner has died, a death certificate should be attached to this form. If a previous
marriage has been dissolved in any other way, this form, together with all other supporting documents should
be sent to the Chancery for permission to proceed.
7. After the marriage, the priest/deacon should see to it that a notification of the celebration of this marriage is
sent to the church of baptism of the Catholic party/parties.
8. This marriage dossier is to be carefully preserved in the archives of the parish where the marriage is
celebrated, except in the case of Dispensations from Canonical Form (non-Catholic church) marriages, where
it is to be kept in the parish of the priest/deacon applying for the dispensation.
9. Publication of Banns of marriage is to be arranged in the home parishes and in the parishes of the present
residence of both bride and groom. Where there is doubt about a person being free to marry, the priest
should make whatever enquiries are possible.
10. A photocopy of all documents should be taken before sending them to the Chancery.
BRIDE
Name in full
Present address
How long resident there?
Email
Telephone
Parish
Date & place of birth
Date & church of Baptism
Date & church of Confirmation
Father’s name & occupation
Mother’s maiden name
Details of previous marriage
Are you related to your fiancée by blood or marriage?
Do you intend your marriage to be a permanent and exclusive partnership of life and love
which only death can dissolve?
Do you intend your marriage to be an intimate union for the mutual welfare and support of
both partners?
Do you intend your marriage to be open to procreation and the education of children?
Are you under any kind of pressure to marry?
Do you give your free consent to this marriage without any reservations?
Have you entered into or are you intending to enter into any pre-nuptial agreement that
sets out conditions that will apply should the marriage be civilly dissolved or a separation
agreed?
I declare before God that the information I have given is true
Signed: __________________________________ Date: ____________
In my presence (priest): _____________________ Date: ____________
GROOM
Name in full
Present address
How long resident there?
Email
Telephone
Parish
Date & place of birth
Date & church of Baptism
Date & church of Confirmation
Father’s name & occupation
Mother’s maiden name
Details of previous marriage
Are you related to your fiancée by blood or marriage?
Do you intend your marriage to be a permanent and exclusive partnership of life and love
which only death can dissolve?
Do you intend your marriage to be an intimate union for the mutual welfare and support of
both partners?
Do you intend your marriage to be open to procreation and the education of children?
Are you under any kind of pressure to marry?
Do you give your free consent to this marriage without any reservations?
Have you or are you intending to enter into any pre-nuptial agreement that sets out
conditions that will apply should the marriage be civilly dissolved or a separation agreed?
I declare before God that the information I have given is true
Signed: __________________________________ Date: ____________
In my presence (priest): _____________________ Date: ____________
AFTER interviewing the couple the priest/deacon should complete the following:
What form of preparation has this couple received?
In your opinion are the parties ready for marriage?
Are you satisfied that each is entering the marriage of his/her own free will?
Are you aware of any impediments to this marriage?
Any further comments:
Signature of priest/deacon:
Date:
DELEGATION of Canon 1108 when the marriage is to take place before a priest who is neither the Parish Priest
nor an assistant priest in the parish or to take place before a deacon
I hereby delegate/sub delegate __________________________________ to officiate at the above
marriage within the boundaries of this parish
Signature: Parish/Assistant Priest
Date: Parish of:
PERMISSION of Canon 1115 to be given ONLY by the Parish Priest when the marriage is to take place
outside the parishes of the two parties
I, the undersigned, being the Parish Priest of the Bride / Groom, hereby give permission for this
marriage to take place outside the boundaries of my parish
Signature: Date:
LITTERAE TESTIMONIALES
Visis documentis hisce alligatis, testamur _______________________________________esse in
statu libero ad matrimonium contrahendum, dummodo interveniat NIHIL OBSTAT illius dioecesis in
qua matrimonium sit contrahendum.
Cancellarius/Vice Cancellarius
Datum: Locum:
NIHIL OBSTAT
Visis documentatis huic Curiae exhibitis, Nihil Obstat quominus matrimonium de quo supra
contrahatur servatis de iure servandis.
Cancellarius/Vice Cancellarius
Datum: Locum:
