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APPLICATION FOR PUBLIC MARRIAGE LICENSE1A. FIRST NAME 1B. MIDDLE1C. CURRENT LAST 1D. LAST NAME AT BIRTH (IF DIFFERENT From 1C)2. DATE OF BIRTH (MM/DD/CITY) 3. STATE/COUNTRY OF BIRTH 4. #PREY. MARRIAGES/CRDP
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first name1b is a placeholder for a specific first name that needs to be entered.
Individuals or entities who have the specific first name referenced by first name1b are required to file.
You can fill out first name1b by entering the specified first name into the designated field.
The purpose of first name1b is to accurately identify and report the specific first name indicated.
The only information required to be reported on first name1b is the specific first name.
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