Fillable MARRIAGE LICENCE APPLICATION - gloucesterva

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MARRIAGE LICENCE APPLICATION FEMALE'S INFORMATION: (PLEASE PRINT CLEARLY) Present Name: ___ (First) (Middle) (Last) Maiden Name (If different from above): ___ Social Security Number: ___-___-___ Age: ___ Date of Birth (MMDDYY): ___/___/___ Race: ___ State or Foreign County of Birth: ___ Day Time Telephone Number: ___
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